Skip to main content
Русский
Беларуская
Search form
Search
Учреждение здравоохранения "Лепельская областная психиатрическая больница"
Toggle navigation
News
Tasks and functions of the establishment
Paid services
Work with applications of citizens and legal entities
Administrative procedures
Contacts
Electronic circulation (feedback form)
Information for applicants
Normative acts
Organizational structure
Reviews
Sanitary and educational work
Specialization of the hospital
Statistics
Telephones of trust
Electronic circulation (electronic circulation is filed by posting it in this section)
On the procedure for working with electronic appeals in the Lepel Regional Psychiatric Hospital
Sample application (the appeals to the chief physician are filled strictly according to the model of the application)
Face
*
Citizens' electronic communications
Electronic appeals of legal entities and individual entrepreneurs
Full name of the legal entity/ Organization
Full Name/ Name
Surname, name, patronymic of the person authorized to sign the applications / Name
E-mail address / E-mail
Contact phone / Phone
Address / Address
Message / Message
*
File / File
Upload
Files must be less than
2 MB
.
Allowed file types:
gif jpg jpeg png txt html pdf doc docx ppt pptx xls xlsx ods xml avi mov mp3 wav rar zip
.
Leave this field blank
Submit
