Patient requesting clinical documentation

Attach documents

Data of the applicant

You only need to fill it in with your details if you are making the request on behalf of someone else. In this case, a completed copy of the following document must be attached (download), a copy of your identity document (DNI, NIE) and a copy of the identity document of the patient who requires the documentation.

*Important note: without the submission of these documents, the application cannot be processed.