Girona - Ferran Puig | Quironprevención

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Girona - Ferran Puig

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Ronda Ferran Puig, 33
17001 Girona Girona España

972 213 225

Test Types:

Otros

EX. SALUD PERIODICO

Centro adaptado personas con movilidad reducida

Request an appointment for your company staff

Petition Id.

Center Id.

Center

Email of the center

APPLICANT'S INFORMATION

IDENTIFICATION BY

CODE

NAME

LAST NAME

ADDITIONAL LAST NAME

CONTACT INFO, PHONE

CONTACT INFO, EMAIL

PETITIONER

APPOINTMENT DETAILS

COMPANY

COMPANY CIF

CONTRACT

TYPE OF APPOINTMENT

TEST TYPES

NAME

LAST NAME 1

LAST NAME 2

DOCUMENT TYPE

ID NUMBER/NIE/OTHER DOCUMENT

PREVENTIVE WORK POSITION

WORKPLACE

DATE OF BIRTH

GENDER

DATE REQUESTED (from)(dd/mm/yyyy)

DATE REQUESTED (until)(dd/mm/yyyy)

ATTACH EXCEL FILE WITH EMPLOYEE DATA (Download)

FROM

TOTAL NUMBER OF APPOINTMENTS

TIME REQUESTED (from) (hh:mm)

TIME REQUESTED (until) (hh:mm)

DATE FLEXIBILITY

TIME FLEXIBILITY

OBSERVATIONS

ATTACH FILES (OPTIONAL)

Appointment status

User Agent