How would you prefer to proceed?

Efficiency and clarity for patients and healthcare professionals. Start by choosing the workflow that suits your situation.

I'm a patient

I’d like to book an appointment for a test or treatment.

Online request in 4 steps
Appointment confirmation within 2 working days
Email reminders once confirmed

I am a doctor

I would like to refer a patient or consult with the medical team.

Appointment confirmation within 24 hours
Uploading clinical documents
Appointment confirmation within 2 working days

Doctor’s details

Clinical request

Confirmation

Rapid patient referral

Simplified form for medical professionals. We will process your application within 2 working days.

Name

Last Name

Telephone *

Membership number *

Rapid patient referral

Simplified form for medical professionals. We will process your application within 24 to 48 hours.

Name

Last Name

Telephone *

Clinical request

Please specify the service requested and attach the relevant clinical documentation.

Preferred Center *

Clinical Documentation

Attach documentation — Statute of limitations

PDF, DICOM · Max. 50 MB

I have read and accept the Data Protection Policy. The healthcare professional submitting this request declares that the disclosure of the patient's data to ALLIANCE MEDICAL LA RIOJA, S.L.U. is necessary for the management of the clinical referral, the coordination of the appointment and, where applicable, the performance of the requested examination or treatment. Furthermore, the healthcare professional declares that the patient has been informed in advance about the disclosure of their identification and contact details to ALLIANCE MEDICAL LA RIOJA, S.L.U., that all applicable data protection requirements have been complied with, and that only the data that are adequate, relevant and strictly necessary for the stated healthcare purpose have been provided.

Please fill in the required fields.

Referral received

We have received the request. Our team will contact the patient within two working days to confirm the appointment.

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Summary of your order

Medical Data

To be selected

Patient Data

To be selected

Service

To be selected

Center

To be selected

How would you prefer to proceed?

Referral received

Service

Test

Available days

Preferred time

Desired Timeframe

We have received your appointment request