Auxilio Global Health

Request Information

Welcome to our appointment section! You may search by medical services or by physician.

To better serve your needs, please provide us with the following information:

Patient Information

Title

Name

Last Name

Gender

Birthdate

Nationality

Place of Residence

Address

City

State or Province

ZIP or Postal Code

Primary Phone

Ext.

Secondary Phone

Ext.

Confirm Email

How would you like to be contacted?

Phone Mail Email

Type of Insurance

Secondary Insurance

Reason for visit

Patient’s Primary Language

Is the patient hearing impaired?

Appointment Information

Department or Medical Specialties

Procedure

I would like to arrive in Puerto Rico by

I would like to have my procedure on

I would like to return by

I will be flying from

We are HIPAA compliant, therefore all information received from the hospital will be encrypted.

If you have any additional information, please contact our Concierge Desk at 1-844-855-1010 from 8:00 a.m. to 6:00 p.m. or
send us an email to globalhealth@auxiliomutuo.com

We will send you a notification within 48-72 hours to confirm that your information request has been received.
We will contact you if we need any additional information. An appointment confirmation will be sent as soon as possible.