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 (10 max)

    Formats jpg, pdf, txt, maximum 10 megabytes each. Please make sure not to exceed 35Mb total.

    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.