Request an appointment

Tell us a little about you and pick a time — our coordinator will confirm the details.

Name *

Phone number *

Email *

Preferred procedure (optional)

Date & time *

Comment (optional)

I agree to the collection and use of my personal data (required)

Read details

[Consent to collection & use of personal data — required]

• Data collected: name, contact number, email, your consultation request

• Purpose: receiving and confirming your consultation booking

• Retention: kept for [TODO-КЛИНИКА: set period] after the consultation is completed, then destroyed

• You have the right to refuse consent; if you refuse, we may be unable to process your booking request.

[TODO-КЛИНИКА: проверить — final wording to be reviewed against PIPA (개인정보보호법)]

All fields marked * are required.