When you press “Send” your message will be sent immediately to our center.

Sending the form is tantamount to consenting to the processing of personal data for the purpose of arranging appointments, answering questions and providing information about the services of the Nowy Vision Ophthalmology Center in accordance with the provisions of the General Data Protection Regulation 2016/679 (GDPR). Information on the processing of personal data in the Nowy Vision Ophthalmological Center is available in our facilities and in the tab RODO


    Age (*)

    E-mail (*)


    Preferred Term


    Type of visit