I consent to the processing of my personal data in order to use medical services at dr Kamil Pietrasik – Specjalistyczna Praktyka Lekarska, ul. Zegadłowicza 1/88, 01-214 Warszawa. I have been notified that the data controller is the above-mentioned subject, their provision is voluntary and that I have the right to access and change the content of the data provided.
Please leave this field empty.