Refer a patient to the C.D.P.P.M.
    This address will be used to send you a confirmation of receipt and / or consultation report
    Complementary informations
    Communications with the patient
    Add images here (3 max)

    Formats jpg, pdf, txt, maximum 10 megabytes each.

    You are not digital? It’s easy, take a picture of your x-ray with a smartphone and send it all by email. Then upload this image to your computer. From this form, select this image. Repeat this procedure for all your x-rays and photos.