Below is the request for scheduling a medical service, please fill in all the fields
Name and surname of the insuredDZO card number of the insured Unique identification number(JMBG) of the insured Detailed description of the problem
The type of medical examination or service you want to schedule
The place where you want to do the examination—Molimo vas izaberite opciju—AdaAleksandrovacAleksinacAlibunarApatinAranđelovacAriljeBabušnicaBačBački PetrovacBačBačka PalankaBačka TopolaBajina BaštaBatočinaBečejBela CrkvaBela PalankaBeočinBeogradBlaceBogatićBojnikBoljevacBorBosilegradBrusBujanovacĆićevacČokaCrna TravaČačakČajetinaĆuprijaÐakovicaDečaniDespotovacDimitrovgradDoljevacGadžin HanGlogovacGnjilaneGolubacGoraGornji MilanovacInđijaIrigIstokIvanjicaJagodinaKačanikKanjižaKikindaKladovoKlinaKnićKnjaževacKoceljevaKosjerićKosovo PoljeKosovska KamenicaKosovska MitrovicaKovačicaKovinKragujevacKraljevoKrupanjKruševacKučevoKulaKuršumlijaLajkovacLebaneLeposavićLeskovacLipljanLoznicaLučaniLjigLjubovijaMajdanpekMali IđošMali ZvornikMalo CrnićeMedveđaMerošinaMionicaNegotinNiš-Crveni KrstNiš-MedianaNiš-Niška BanjaNiš-PalilulaNiš-PantelejNova CrnjaNova VarošNovi BečejNovi KneževacNovi PazarNovi SadNovo BrdoObilićOdžaciOpovoOrahovacOsečinaPančevoParaćinPećPećinciPetrovacPirotPodujevoPožarevacPožegaPreševoPribojPrijepoljePrištinaPrizrenProkupljeRačaRaškaRažanjRekovacRumaSečanjSentaSjenicaSmederevoSmederevska PalankaSokobanjaSomborSrbicaSrbobranSremska MitrovicaSremski KarlovciStara PazovaSuboticaSurdulicaSuva RekaSvilajnacSvrljigŠabacŠidŠtimljeŠtrpceTemerinTitelTopolaTrgovišteTrstenikTutinUbUroševacUžiceValjevoVarvarinVelika PlanaVeliko GradišteVitinaVladičin HanVladimirciVlasotinceVranjeVrbasVrnjačka BanjaVršacVučitrnZaječarZrenjaninZubin PotokZvečanŽabaljŽabariŽagubicaŽitišteŽitorada
Municipality* (only for Beograd)
Date of desired appointment 1
Time of desired appointment 1 (from...to...)
Date of desired appointment 2 (in case 1. the desired date cannot be scheduled)
Time of desired appointment 2 (from...to...)
Health institution 1
Health institution 2 (in case the service cannot be scheduled in the institution 1)
Contact phone
Contact e-mail
Note:
In case we need additional information in order to schedule a health service, we will contact you by phone. You can expect a response within 24 hours on weekdays.In the case of requests for scheduling diagnostics and additional or control examinations, it is necessary that you provide us with a doctor's report from the previous examination according to which the requested health services should be scheduled.
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