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Planificarea vizitei.
Telemedicină.
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Despre noi.
Contact.

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International Medical Services Department

Servicii medicale.
Planificarea vizitei.
Telemedicină.
Formare profesională.
Despre noi.
Contact.

+49 761 270 21310
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Location
Breisacher Str. 86b
79106 Freiburg
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International Medical Services › Formare profesională ›

Training Request Form

Name, Surname

Company/Hospital

Position

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Telephone number

Email*

Program/Department of interest

Preferred training dates

Name of the individual or organization covering your training expenses

How did you find our hospital?

internet

friends/ relatives/ previous patients

your physician

newspaper/ magazine

exhibition

social media/ forum

other**

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I want to use encrypted E-Mail communication (registration required)*

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I have read the Privacy Policy and agree to the following Collection of Personal Data Policy¹*

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¹All the terms are subject to the law of the Federal Republic of Germany. Exclusive place of jurisdiction shall be Freiburg in Breisgau, Federal Republic of Germany.

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