Submit a claim | MedMal.ee

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Thank you for reporting your claim.

The claims handler will contact you soon and keep you informed about the handling of your claim.

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1 Who are you?

Role of the submitter *

Patient Dependant Heir Other person Healthcare provider

2 Your details

First and last name *

Personal ID / registry code *

Phone number *

Email address *

3 Incident details

Date the medical error / injury occurred *

Date you learned about the medical error *

Healthcare provider and address *

Doctor’s name / doctors’ names

4 Claim description

Describe the circumstances and the injuries suffered *

Ole võimalikult täpne. Mida rohkem infot, seda kiirem on menetlus.

5 Consent

I confirm that the data provided is correct and true. I agree that my personal data will be processed for handling the claim in accordance with the privacy policy. *

Claims handler

Denis Europe OÜ

Intake and handling of medical-error claims in Estonian.

(+372) 6028559 Mon–Fri 10:00–14:00

medmal@denisglobal.com

Hobujaama 4, Tallinn (by prior appointment)

Paper claim form

If you prefer to submit your claim on paper, fill in the form and send it to Hobujaama 4, Tallinn 10151:

Download the claim form