New Patients - Dr Kerr, English doctor in Florence, Italy

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New Patients

This information is useful to start your file (for each person that needs to be seen).
It speeds things up when you come to the office and decreases the chance of typos when the data is entered into the database.
Just copy the text below into your email and complete as many fields as you can.
There is no obligation to send the info. now.

 
 
Important info:
 
Family name/s  (to match your travel document)       
 
First name/s                 
 
Date of birth, date, month, year e.g. 8th June 1984 not 6.8.84          
 
town/city of birth                    
 
Address line 1, street name and no.    
 
Address line 2, town/city                    
 
Address line 3, state/province or county (abbreviated)          
 
Address line 4, zip/post code/CAP   
 
 
 
Appointment date and time with Dr Kerr

 
 
Other useful info:
 
Document ID number (if you want this added to your certificate)
 
cell number
 
nationality
 
country of residence
 
codice fiscale (only if you pay tax in Italy)
 
Mr/Ms/prefer to leave blank
 
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