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Formulario de Afiliación

Rellena este formulario para la solicitud.

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Localización
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Hospital de Poniente
Carretera de Almerimar, 31, 04700 El Ejido, Almería

Hospital Virgen de las Nieves
Av. de las Fuerzas Armadas, 2, 18014 Granada

Hospital Virgen de la Victoria
Campus de Teatinos, S/N, 29010 Málaga

Complejo Hospitalario de Jaén
Av. del Ejército Español, 10, 23007 Jaén

Hospital universitario Reina Sofía 
Av. Menéndez Pidal, s/n, 14004 Córdoba

Hospital Nuestra Señora de Valme
Av. de Bellavista, s/n, 41014 Sevilla

Hospital Puerta del Mar
Av. Ana de Viya, 21, 11009 Cádiz

Hospital Universitario de Ceuta
Urbanización Loma Colmenar, s/n, 51003 Ceuta

Hospital comarcal de Melilla
Calle Remonta, 2, 52005 Melilla
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Rellena este formulario para la solicitud
[/av_heading]

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[av_contact_field label=’He leído y acepto las condiciones para la solicitud de inscripción. Autorizo a cargar la cuota anual de socio de la Asociación Andaluza del Dolor y Asistencia Continuada’ type=’checkbox’ options=» check=’is_empty’ width=» multi_select=» av_contact_preselect=»][/av_contact_field]
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Su solicitud será presentada en la próxima reunión de la Junta Directiva y se le informará de la decisión.
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