Pre-Admission

The Clínica Bíblica Hospital puts at your disposal the following system to carry out your pre-admission process. Fill out the following form according to your needs and our customer service staff will contact you as soon as possible.

Rights and Duties of the Users >>>

Pre-Admission form

Patient name: *
Id Number: *
Email *
Telephone *
Nacionality *
Birth date *
Insurance or agreement
Medic *
Date of admission *
Procedure to be carried out *
SUBMIT