First Consultation

First consultation

Before you submit the first consultation form, be sure to understand the káyros general information.

Dr. Joaquin Valdivia will review your case and determine if we can help you.

First consultation form

(*) Required field

First consultation

Title (optional)

Full name*

Street address*

Town / City*

State / Province / Region*

Zip code*

Phone number*

Email*

Birth date*

Your contact person (optional)

When sending my first consultation form I accept the legal notice:

Your personal data will be incorporated into the file under responsibility of Dr. J. Valdivia with the objective of keeping in contact with you and evaluate the situation. You may choose to exert the right of access, modification, and/or elimination of your personal data through the káyros website or email.

Let us know if you are under 18 years old. Parental consent will be required for the purchase of the káyros program.