Important note on data protection: Please do not provide any patient-related data in this form. Refrain from providing names, dates of birth, patient numbers or any other information that could allow conclusions to be drawn about individual patients. Describe the incident exclusively in technical and factual terms to protect the privacy of your patients.
We collect and handle the personal data provided in the form on the basis of Art. 6 Para. 1 letter f GDPR in order to process the desired request for you. The collected data will be stored by us only as long as it is necessary for the processing of your inquiry as well as for the contact with you. After that they will be deleted. Additional data protection information can be found in our Data Protection Declaration.