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Medical Second Opinion Request Form

Thank you for choosing Maple Med Global to assist you in obtaining a medical second opinion from healthcare professionals in Türkiye. Please fill out the form below with accurate and complete information to help us provide the best service.

First name*

Last name*

Date of Birth*

Please indicate your gender:*

Female

Male

Non-binary

Prefer not to say

Email*

Phone*

Address

info@maplemedglobal.ca

+1 (437) 232-6563

Maple Med Global is a brand of Phoenix Healthy (Feniks Saglik Hizmetleri ve Turizm A.S.)

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