Pacient - Crisia

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Treatment for

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Please include details such as: the item number on the prescription (e.g., 1, 2, 3), the specific treatment you need, any known allergies or intolerances and any other relevant information for the compounding pharmacists.

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Doctor

Name and surname*

Pickup point

Crisia Mihai Bravu

Sos Mihai Bravu nr. 251-253 Bucuresti Monday - Friday 09:00 - 21:00 Saturday 09:00 - 19:00 Sunday closed

Crisia Dorobanti

Calea Dorobantilor nr. 111-131 Monday - Friday 08:00 - 21:00 Saturday 09:00 - 19:00 Sunday closed

I can't come in person/I am not from Bucharest/I can't travel

I cannot present myself and the products will be picked up by a carer

Have we previously prepared this for you?

Yes

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I consent to my personal data being transmitted to an outsourced provider of representation and transport brokerage services (mandatez.ro) who undertakes to comply with the conditions regarding the provision of temperature-controlled transport services. More details about data processing can be found by accessing Privacy Policy

I assume the responsibility to designate and personally contact a trustee / authorized representative in order to pick up the treatment from Farmacia Crisia Mihai Bravu.

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