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Patient List Registration

Application for registration in a family doctor's patient list

Please fill in and digitally sign the application via the form below.

A separate application must be submitted for each family member.

A minor's application must be submitted by a parent or legal guardian. The exception is newborns, who are automatically added to the mother's family doctor list. An application is only required if you wish a different family doctor for the child than the mother's doctor.

Thank you for your trust!


Select the family doctor whose patient list you want to join *
Dr Ingmar Lindström - N0805 - Ülemiste
Dr Kristin Kolts - N0858 - Ülemiste
Dr Anna Melan - N0079 - Pelgulinna
Dr Jaan Pranstibel - N0058 - Pelgulinna
Dr Maria Männik - N0224 - Pelgulinna
Dr Piret Kants - N0192 - Pelgulinna
Dr Roman Makarov - N0187 - Pelgulinna
Dr Tiina Kõressaar - N0024 - Pelgulinna
Dr Veera Guskova - N0171 - Pelgulinna
Dr Maria Pintsaar - Substitute List - N0309 - Kiili
Your first and last name *
ID code *
Street / farm *
Village / settlement
Municipality / city *
County *
House number
Apartment
Postal code *
Country *
Phone *
Email *
Please add me to the patient list
My previous family doctor was
Patient list selection *
For the first time
I am changing my family doctor list
I have read and accept Perekliinik OÜ's privacy and terms of use
I have read and accept Perekliinik OÜ's house rules