Order form

Request an invitation Contract prepayment

Please note that production of the visit confirmation letter is a billable service. The letter costs USD 500. This service is non-refundable, and it will be applied to your OB-GYN contract in case of signing and finalization of the contract within one week after initial visit

DETAILS FOR THE LETTER

First and Surname (like in the passport)

Passport Number

Date of Birth

Date of Visit to the Clinic

Expected Date of Delivery

Phone number

E-mail address

I have read and accepted the terms and conditions of requesting the letter

I have been duly informed by the office of Marina Bubucea, MD referred to as the Doctor hereinafter that requesting a letter confirming the date of my visit to the clinic is a billable service.

The letter costs USD 500. This service is non-refundable, and it will be applied to your OB-GYN contract in case of signing and finalization of the contract within one week after initial visit.

In case a full contract with the Doctor is not executed for any reason including my inability to visit the United States, this cost will be non-refundable to me.

I knowingly accept these terms and conditions. The letter will be produced only after the payment of USD 500 is made and processed.

Have questions? Please contact us

DETAILS FOR THE LETTER

YOUR MESSAGE IS SUCCESSFULLY SENT!