Aesthetic Dental Studio · Marbella · Estepona · Riviera · acedntl.com
Documentation for Försäkringskassan
Dental care in another EU/EEA country
This documentation concerns dental care received by the patient from a provider in another EU/EEA country, submitted in support of an application for reimbursement under the rules for cross-border care.
Patient and background
The patient has been treated at ACE DNTL STUDIO, Marbella, a licensed dental practice in Spain within the EU. The treatment was carried out by a licensed dentist and documented in the patient's clinical record.
Diagnosis and medical need
The diagnosis and underlying medical need are set out in the patient's clinical record. The treatment was assessed as warranted in light of the clinical condition found at examination.
Treatment performed
The procedures performed are itemised in the patient's clinical record and in the invoice accompanying this documentation.
Cost
The amount represents the total cost of the dental care provided. An itemised invoice with proof of payment is enclosed and forms the basis for the amount stated above.
Dr. Arsalan Korkchi
Licensed dentist
ACE DNTL STUDIO, Marbella
Reg. no. / Nº colegiado: