We are happy to help and look forward to hearing from you.
After receiving your request we will contact you regarding the transmission of your current medical documents.
Preferred area for treatment*
Who bears the costs if you have a treatment?*
How do you prefer to be contacted?*
How did you find us?*
You have the opportunity to register various requests or to provide us with information. We will use your personal data that you have entered only for the purposes mentioned by you or listed during registration. Your data will then be deleted as soon as possible unless we are legally obligated to store it. You will always have the right to information, rectification, restriction, data portability, objection, erasure and in certain cases the right to lodge a complaint with a competent supervisory authority. You may revoke your consent at any time via the following e-mail address firstname.lastname@example.org.