Medical Group

Forms for Aventino Medical Group Patients


An overview of our Group, its practitioners, and health care in Rome.


Intake form for new patients

The first time you see a practitioner at the Aventino Medical Group we will need to file this form with some identifying information about you and with your signed consent to allow us to keep records on you (this consent is required by Italian law). You can make the process smoother, if you like, by printing out and completing the form ahead of time, and bringing it along when you come.


Feedback form

Let us know how we're doing! Print out this form, fill it in, and mail it to us.



(You may need Acrobat Reader to view and print these forms.)

Via Sant'Alberto Magno, 5 - 00153 Rome, Italy
tel./fax (+39) 06 5780738
hours: Monday-Friday 9 AM - 7:30 PM

email: info@aventinomedicalgroup.com
©2011 Aventino Medical Group