Language
English (UK)
Croatian
First and last name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
OIB or MBO
*
If you are not insured by HZZO or are not a citizen of Croatia, type 0.
E-mail address
*
example@example.com
Message
*
Telephone
*
Please enter a valid phone number.
Medical documentation
Click here to upload files
Drag and drop files here
Choose a file
Cancel
of
Other documentation
Click here to upload files
Drag and drop files here
Choose a file
Cancel
of
Consent to the Collecting and Processing of Personal data
*
I agree with the policy regarding my personal data. Personal data is considered to be all information collected and stored in a form that allows you to be personally identified, either directly (eg by name) or indirectly (eg by phone number) as a natural person. Personal data is collected for the purpose of booking accommodation and using services in the Special Hospital for Orthopedics and Rehabilitation "Martin Horvat" Rovinj-Rovigno.
Submit
Should be Empty: