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Serrano, St. 205, 1ºA

Madrid, 28016

Ph: +34 91 4576845

+34 921174126

Fax: +34 912207003


Military Hospital Avenue, 23 ,3ºÑ

Valladolid, 47007

Ph: +34 983 377282

+34 921174126

Cell: +34 609847069



Alberto Lajo Foundation

Rond-Point des Champs-Elysées 12/14,

75008 Paris

Cell phone: +34 609847069

For your privacy,

this information will be used solely by Dr. Lajo Plastic Surgery, and will not be shared with any other persons or organizations.

Please complete the form below to initiate a referral request.

Appointments by phone may also be made by calling +34 609847069.

This is a secure form and any information provided will be handled in strict compliance with applicable privacy laws.

Patient Registration Form

Please fill answer all questions to the best of your knowledge. Press the "submit" button at the bottom of this form when finished.

First Name/ Nombre*

Last Name/Apellido*

Birthday/Fecha de Nacimiento*

Cell Phone/Teléfono móvil

E-mail/Correo electrónico*


Reason for Consultation/Motivos de la consulta*


We understand, acknowledge and respect any individual’s right to privacy and the concerns one may have in regard to privacy and security. We recognize the importance of protecting the privacy of information provided by our patients, as well as, general users of our website.

Personal information

A visitor can access and browse our entire site at any time without providing any personal information. We do not collect information that would personally identify you unless you choose to provide it.

In addition, Dr. Lajo Clinic does not share any personally identifiable information of any individual with any third party unrelated to Dr. Lajo, except in situations where we must provide information for legal purposes or investigations, or if so directed by the patient through a proper authorization.

Our website contains forms through which users may request information or supply feedback to us. In some cases, telephone numbers, email addresses or return addresses are required so that we can supply requested information to you, and in other cases, correct names and addresses are required to process credit card payments.

Protecting children's privacy

We are committed to protecting children's privacy on the Internet, and we do not knowingly collect personal information from children.

The use of the site is entirely at your own risk, and in no event shall Dr. Lajo clinic be liable for any direct, indirect, incidental, consequential, special, exemplary, punitive, or any other monetary or other damages, fees, fines, penalties, or liabilities arising out of or relating in any way to this service, or sites accessed through this service, and/or content or information provided herein. Your sole and exclusive remedy for dissatisfaction with the service is to stop using the service. User hereby acknowledges that this paragraph shall apply to all content, merchandise and services available through the site. Some states do not allow the exclusion or limitation of incidental or consequential damages, so the above limitation or exclusion may not apply to you.

Please note that, by its very nature, a website cannot be absolutely protected against intentional or malicious intrusion attempts. Furthermore, Dr. Lajo clinic does not control the devices or computers or the internet over which you may choose to send confidential personal information and cannot, therefore, prevent such interceptions of compromises to your information while in transit to Dr. Lajo clinic.

In developing the site has been used imagery from the web and purchased a dollar iconography photo club, also were obtained unprotected images on the network. Other sites and authors on which is based the development of this site would be referenced as issaps, ascher, gaudreau, taki, among others; we appreciate your valuable information. It also has obtained different information from wikipedia.

We used iconography of those centers and universities in which we have conducted studies, works and collaborations. We have also added iconography and emblems promising entities which are part of the medical staff. It has thus used the same iconography of professional bodies where we are registered you can use our products for whatever you want and when cites and links the source visible. The videos, images and other elements outside our building are property of their authors and always indicate possible under what license.


The information provided on DR. Lajo Clinic is designed to support, not replace, the relationship that exists between patient/site visitor and his/her physician. By accessing, browsing and/or using webpages or other digital content in this site, you accept, without limitation or qualification, the following terms of use.

You agree that you will not:

-Upload or transmit any communications or content of any type that may infringe or violate any rights of any party

-Use this website for any purpose in violation of local, state, national or international laws


Use this site as a means to distribute advertising or other unsolicited material to any third party

-Use this website to post or transmit material that is unlawful, obscene, defamatory, threatening, harassing, abusive, slanderous, hateful or embarrassing to any other person or entity

- Attempt to disable, "hack" or otherwise interfere with the proper functioning of this website


You agree that your use of the Dr. Lajo Clinic website and any uses of any services or materials are subject to your agreement with all of these Terms of Use, Copyright and Reprint Policy, and the Website Privacy Policy. You agree that you will not violate any local, state, federal or international laws in using this website or accessing any Material on this website.


You acknowledge and agree that Dr. Lajo Clinic does not operate or control the internet and therefore Dr. Lajo Clinic does not guarantee that the use of this website will be error free or free of technology downtimes or unavailability. You acknowledge and agree that Dr. Lajo Clinic cannot and does not guarantee against viruses, worms, or other unauthorized users or hackers attempting to obtain access to this website or information transmitted to or from this site.


Accept as otherwise indicated, Dr. Lajo Clinic does not knowingly or intentionally collect personal information from children under age 18. The content of our website is directed at adults, and therefore this site is intended for use only by adults over the age of 18. If you are under the age of 18, please consult a parent or guardian for help in using this website.

Trademarks and Copyrights:

All trademarks, service marks, and logos or copyrights displayed and used in this site are the property of their respective owners. Nothing in this site should be construed as granting any right or license to use any Trademark without the written permission of its owner.

  Copyright 2016 Dr. Lajo. All rights reserved.

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