Thank you for your kind referral. We will be happy to take care of your patient with regard to the operation, provided you give your consent. Please complete the form below.

The details will be sent automatically to our MPA team and we will contact your patient as soon as possible. Alternatively, you can complete the PDF and send it to us by scan (as an e-mail attachment) to team@gyn-surgery.ch by post to gynhealth GmbH​, Höschgasse 50, 8008 Zurich.

*These points are mandatory