Helping people arrange holiday and health treatments in Lithuania
Baltic Health Tours inquiry form

After you've submitted your form, a Baltic Health Tours representative will contact you to discuss your journey and answer any of your questions. If you have any questions or require immediate assistance, please contact us at +370 615 67739 or e-mail us at This e-mail address is being protected from spambots. You need JavaScript enabled to view it .

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1. Treatment Request

I consider to my personal data and medical documentation (including examination and X-ray results) being used for the purpose of treatment.

Select your destination:

What kind of medical services are you interested in?

Any other information that will help us with your assessment?

2. Personal information

Title:
* First name:
* Surname:
* Date of birth:
* Street:
* City:
* Country:
* E-mail address:
* Post code:
Telephone/fax:
Mobile phone:

3. Additional informations

How did you learn about us?






Please rewiev our step-by-step process