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Online counseling request

Fill out this form to request an appointment for an online consultation.

Online consultation form (without the 2 radiobx)

Information for requesting counseling

Choose the type of visit that best suits your needs

TYPE OF VISIT

Food Counseling

Online Counseling

Counseling is conducted in Google Meet or other platform for video call. You will receive the link to connect just before the connection.
For counseling, it would be appropriate to Provide the required materials beforehand, so that Dr. can already get an idea of the clinical picture. If there are no previous reports available, this is not a problem, as the indication for further specific investigations will be evaluated during the video call.
At the end of the counseling, Dr. will send the report to the patient(s).
The first report check following the first online consultation is included in the cost.

To make the appointment, the amount must be paid within 5 days from the date of receipt of the appointment: otherwise the appointment will be cancelled.

Online Food Counseling

The benefit includes:

First informational interview with Dr. Imperato, the nutritionist at my outpatient clinic
the receipt of the food plan
coaching to embark on the path
The first consultation or follow-up visit after 6-8 weeks.

To make the appointment, the amount must be paid within 5 days from the date of receipt of the appointment: otherwise the appointment will be cancelled.
Counseling is conducted in Google Meet or other platform for video call. You will receive the link to connect just before the connection.

Online Counseling + Food Plan

The benefit includes:

Online counseling with Dr. Tomasi
the receipt of the food plan
coaching with Dr. Imperato, a nutritional biologist, to embark on the pathway
The first consultation or follow-up visit after 6-8 weeks.

To make the appointment, the amount must be paid within 5 days from the date of receipt of the appointment: otherwise the appointment will be cancelled.

Counseling is conducted in Google Meet or other platform for video call. You will receive the link to connect just before the connection.

Reading confirmation

I have carefully read the

Costs

the cost of the Online Consultation is 255€:

Counseling is conducted in Google Meet or other platform for video call. You will receive the link to connect just before the connection.
For counseling, it would be appropriate to Provide the required materials beforehand, so that Dr. can already get an idea of the clinical picture. If there are no previous reports available, this is not a problem, as the indication for further specific investigations will be evaluated during the video call.
At the end of the counseling, Dr. will send the report to the patient(s).
The first report check following the first online consultation is included in the cost.

To make the appointment, the amount must be paid within 5 days from the date of receipt of the appointment: otherwise the appointment will be cancelled.

payment can be made by credit card or PayPal.

Audit consultancies cost 130€.
Subsequent emailed report checks cost 30€ each

the cost of Online Food Counseling is 255€:

payment can be made by credit card or PayPal.

The benefit includes:

First informational interview with Dr. Imperato, the nutritionist at my outpatient clinic
the receipt of the food plan
coaching to embark on the path
The first consultation or follow-up visit after 6-8 weeks.

The cost of the Online Counseling + Food Plan is. 355€:

payment can be made by credit card or PayPal.

The benefit includes:

Online counseling with Dr. Tomasi
the receipt of the food plan
coaching with Dr. Imperato, a nutritional biologist, to embark on the pathway
The first consultation or follow-up visit after 6-8 weeks.

To make the appointment, the amount must be paid within 5 days from the date of receipt of the appointment: otherwise the appointment will be cancelled.

Counseling is conducted in Google Meet or other platform for video call. You will receive the link to connect just before the connection.

Challenges online control consultations cost 130€.

Subsequent emailed report checks cost 30€ each

Reading confirmation

I have carefully read the

It is critical

What to prepare for Online Counseling

(materials should be sent before counseling)

For the first consultation, it is necessary to fill out a food diary of a week, writing down what you eat and when, possibly including the physical activity you do and the quality of your sleep.
Recent weight and height
Copy of last gynecological examination
Copy of last mammogram
Copy last blood tests (maximum of 2021) in pdf
Send list medications and supplements taken.

What to prepare for Online Food Counseling

(materials should be sent before counseling)

For the first consultation, it is necessary to fill out a food diary of a week, writing down what you eat and when, possibly including the physical activity you do and the quality of your sleep.
Recent weight and height
Copy last blood tests (maximum of 2021) in pdf
Send list medications and supplements taken.

What to prepare for Online Counseling + Food Plan

(materials should be sent before counseling)

For the first consultation, it is necessary to fill out a food diary of a week, writing down what you eat and when, possibly including the physical activity you do and the quality of your sleep.
Recent weight and height
Copy last blood tests (maximum of 2021) in pdf
Send list medications and supplements taken.

Reading confirmation

I have carefully read the

Personal Data

Name

Last name

Date of birth

Place of birth

Tax Code

Additional billing information

Address

City

Province

ZIP CODE

Phone

Your data will be processed in accordance with the GDPR privacy law (art. 13 of d.lg. n.196/2003) only for the purpose of responding to this request. Under no circumstances will they be transferred to third parties. To view the full information notice, please refer to the Privacy Policy.

Type of visit chosen:

Personal Data:

Name:
Surname:
Date of birth:
Place of birth:
Tax Code:
Email:
Full address: , , ,
Phone:

What to prepare for Online Counseling

(materials should be sent before counseling)

For the first consultation, it is necessary to fill out a food diary of a week, writing down what you eat and when, possibly including the physical activity you do and the quality of your sleep.
Recent weight and height
Copy of last gynecological examination
Copy of last mammogram
Copy last blood tests (maximum of 2021) in pdf
Send list medications and supplements taken.

What to prepare for Online Food Counseling

(materials should be sent before counseling)

For the first consultation, it is necessary to fill out a food diary of a week, writing down what you eat and when, possibly including the physical activity you do and the quality of your sleep.
Recent weight and height
Copy last blood tests (maximum of 2021) in pdf
Send list medications and supplements taken.

What to prepare for Online Counseling + Food Plan

(materials should be sent before counseling)

For the first consultation, it is necessary to fill out a food diary of a week, writing down what you eat and when, possibly including the physical activity you do and the quality of your sleep.
Recent weight and height
Copy last blood tests (maximum of 2021) in pdf
Send list medications and supplements taken.

the cost of the Online Consultation is 255€:

Counseling is conducted in Google Meet or other platform for video call. You will receive the link to connect just before the connection.
For counseling, it would be appropriate to Provide the required materials beforehand, so that Dr. can already get an idea of the clinical picture. If there are no previous reports available, this is not a problem, as the indication for further specific investigations will be evaluated during the video call.
At the end of the counseling, Dr. will send the report to the patient(s).
The first report check following the first online consultation is included in the cost.

To make the appointment, the amount must be paid within 5 days from the date of receipt of the appointment: otherwise the appointment will be cancelled.

payment can be made by credit card or PayPal.

Audit consultancies cost 130€.
Subsequent emailed report checks cost 30€ each

the cost of Online Food Counseling is 255€:

payment can be made by credit card or PayPal.

The benefit includes:

First informational interview with Dr. Imperato, the nutritionist at my outpatient clinic
the receipt of the food plan
coaching to embark on the path
The first consultation or follow-up visit after 6-8 weeks.

To make the appointment, the amount must be paid within 5 days from the date of receipt of the appointment: otherwise the appointment will be cancelled.

Counseling is conducted in Google Meet or other platform for video call. You will receive the link to connect just before the connection.

The cost of the Online Counseling + Food Plan is. 355€:

payment can be made by credit card or PayPal.

The benefit includes:

Online counseling with Dr. Tomasi
the receipt of the food plan
coaching with Dr. Imperato, a nutritional biologist, to embark on the pathway
The first consultation or follow-up visit after 6-8 weeks.

To make the appointment, the amount must be paid within 5 days from the date of receipt of the appointment: otherwise the appointment will be cancelled.

Counseling is conducted in Google Meet or other platform for video call. You will receive the link to connect just before the connection.

Challenges online control consultations cost 130€.

Subsequent emailed report checks cost 30€ each.

Reading confirmation

The data entered are correct

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