Request an appointment

Fill in and send the following form.

At the Clínica Rinològica Maria Colomé we take care of your nasal health. In the first visit we will listen to you in detail to understand what your problem is – aesthetic or functional – and we will explain how we can help you. Fill in the following form and we will contact you to make the first contact, according to your needs.

    Is this your first visit?

    What is the reason for your inquiry?

    I would like to touch up my noseI snore a lot and / or I have apneasI do not breathe wellI suffer from rhinitis and / or sinusitisI have polypsI have lost my sense of smellVoice disordersHearing disordersPediatricI want to participate in a workshopOthers

    Would you like to briefly explain the reason for the visit?




    In case the patient is a child, indicate the name of the father, mother or legal guardian:




    In which clinic do you want to visit?

    onlineHeadquarters - SalvatierraTeknon ClinicAndorra Clinic

    How do you want us to contact you?

    By phoneBy email

    When do you prefer to visit?

    In the morningIn the afternoon

    Are you a patient:
    PrivateWith insurance

    Choose your insurance:

    The data provided will be used exclusively to contact you, send you information to make the first consultation, and offer you access to the Patient Area.

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