Hospital Sírio Libanês

Patients and Companions Doctors and Health Professionals Philanthropy

Annual Report 2007


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Home  border= Contact Us

Contact Us


Use this space to send us your suggestions, questions, compliments or complaints.

For mail or telephone contact:
Rua: Dona Adma Jafet, 91 - CEP: 01308-000 - Bela Vista - SP
Relationship Central Office: 55 11 3155-0900
Central Phones 24 Hours: 55 11 3155-0200



Subject:
Type of requisitation:
I am:
Blood Donor
Candidate
Companion
Doctor on the Clinical staff
Health Professional
I want to be a Patient
Others
Patient
Student
Supplier
Unaccredited Doctor
Volunteer

Name:
Email:
(Patients who do not have an email must give the email of a family member or a companion)
Home phone no.:    numbers only
Work phone no.:    numbers only
Sex: Male Female
Date of birth:    
Message
 characters remaining.


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Relationship central office: 55 11 3155-0900