Limb Lengthening Surgery Form

First Name

Last Name

Whatsapp Phone Number

Age

Gender

Country

Height (cm)

Weight (kg)

Medical History

Upload Medical Records

Choose File

Desired Surgery Type

Desired Lengthening (cm)

Have you contacted any hospital in Turkey before? (Yes / No)

Yes

If yes, which hospital?

Please summarize the details of your conversation and current situation.

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