iMER
Patient Self Registration
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Manual Patient Self Registration
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Submission Date
(Required)
DD slash MM slash YYYY
Patient Information
Full Name
(Required)
First
Last
Telephone
(Required)
Email
The registration fee for patients using iMER services is a fixed rate of €150. This fee covers the administrative processing of medical registration and applies to all patients, regardless of the registration method selected.
Forms Uploading
Patient Registration
(Required)
Accepted file types: pdf, png, jpg, Max. file size: 15 MB.
Medical Questionnaire
(Required)
Accepted file types: pdf, png, jpg, Max. file size: 15 MB.
Registration Fees
Payment Options
(Required)
Bank Transfer
Online Payment
Bank Name:
Eurobank
Beneficiary:
iMER Medical Services Ltd
Account Number:
001-00002411
IBAN:
CY42 0180 0008 0000 3001 0000 2411
SWIFT:
ERBKCY2N
Please send deposit slip to iMER by fax or email.
Please remember to indicate the patient’s name as reference on the deposit slip.
Open iMER Payments
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