Portal del paciente del Hospital General de Villalba

New user registration

When you have completed the form, your password will be sent by SMS to the telephone number and email provided. This will allow you to log in to the online portal along with your email.

Once you have logged in for the first time, you will be able to personalize your password.

User information

Fill in the name of the person who is going to access the online portal in the following field. For example if a parent is going to log in to the online portal to access their child's (under 16) information, they should fill in the parent's name.

Name (*):

Surname (1) (*):

Surname (2):

if you have a second surname, make sure you fill in this field to verify the authenticity of your personal data.

Date of birth (MM/DD/YYYY) (*):

Gender (*) Male Female

ID document (*):

ID number (*):

Photograph:

It is not necessary to upload a photograph. If you choose to upload one, the photograph must be in jpg, gif or png format, and no larger than 1MB. Recommended size: 142x150 px.

Email (*):

Confirm email (*):

Alternative email :

Mobile phone (*):

Prefix:

Number:

Patient Information

Provide the personal data of the person whose information you wish to access. For example if a parent is going to log in to the portal to access their child's (under 16) information, they should fill in the child's personal data.

Remember that in order to access the data of another person must have legal authorization of access to the data, either because it is a child under 16 and you are your parent or legal guardian or because you are a disabled adult and To have a judicial decision granting the guardianship or guardianship of the same, as well as judicial resolution granted by parental authority in cases of divorce.

Name (*):

Surname (1) (*):

Surname (2):

if you have a second surname, make sure you fill in this field to verify the authenticity of your personal data.

Date of birth (MM/DD/YYYY) (*):

Gender (*) Male Female

The date entered is not valid. Example: 07/25/1980

Only those over 16 years old can register.

ID document :

ID number :

Photograph:

It is not necessary to upload a photograph. If you choose to upload one, the photograph must be in jpg, gif or png format, and no larger than 1MB. Recommended size: 142x150 px.

Home

Country (*):

Province (*):

Population (*):

Postal Code (*):

Address (*):

Type of via:

Via:

No.:

Other (level / floor / Block):

Phone (*):

Prefix:

Number:

Preferences

Only minors can be protected by minority.

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Patient Portal

New user registration

User information

Patient Information

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