Join Our Community - Santo Stefano Riabilitazione

Main information

(* mandatory field)

Name *

Surname *

Phone *

email *

Confirm email *

Organization/Institution *

Facility’s chair *

Street Address *

City *

ZIP/Postal Code *

State / Province / Region *

Country *

Devices

(Insert one or more devices using the "Add Device" button and specify the type of patient and clinical applications)

Device *

Other device

Age category *

Pathology *
(Select one or more)

Other pathology

Device manager *

email *

More informations

(* mandatory field)

Note

Privacy *

I declare that I have read the information (EU Regulation 2016/679 - General Data Protection Regulation).

The undersigned is aware that, pursuant to art. 76 D.P.R. 445/2000, false declarations, false documents and the use of false documents are punished under the penal code and special laws. Furthermore, pursuant to EU Regulation 2016/679 and Legislative Decree 101/2018, with reference to the data provided, you consent to their processing, also with IT tools, in the context of the procedure for which this declaration is made, expressing formal consent to inclusion of the data in our mailing list to receive informative / informative material on future events / initiatives. I declare that I have been informed that the holder of use is KOS Care s.r.l. and that all data will be processed in compliance with the aforementioned legislation and that in the future I will be able to exercise all the rights pursuant to articles 15-22 of the EU Regulation 2016/679. Finally, I declare that I am aware that failure to authorize data processing will make it impossible for me to participate in this training event.

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