Contacto

Encabezado Sr.Sra.

Nombre *

Apellido *

Dirección y número *

Código postal *

Ciudad / Pueblo *

País *

Su correo electrónico *

Teléfono fijo / Celular *

Fax

Su pregunta *

Referencia Buscando en Internet (Google / Yahoo / Bing / Yandex)Redes sociales (Facebook / Instagram) / forosAmigos / conocidosHospital / médico / fisioterapeutaTelevisiónArtículo en una revista / periódicoFundación de caridadPresentaciónExposiciónOtro..

Desearía recibir un boletín informativo

Consent to the processing of personal information: According to the Act N. 122/2013 Coll., the Data Protection Act as amended, I give my permission to administer, process and store my personal details given in filled contact form or in other attachments exclusively to the ADELI Medical Center and its employee through the site http://adelicenter.eu/ within the framework of the Internet computer network. I am aware of the fact that the information I supply fall under the Special Category of Personal Data. I declare that all information supplied is true and issupplied voluntarily and of my own accord. The details may be processed exclusively for the purposes of getting of information on ADELI Medical Center and its services, special offers and for the purposes of the database of potential customers. The permission is given for a definite period of 3 years. Once the period of 3 years has elapsed, the information will be made anonymous and will be further used exclusively for the purposes of statistics. *

6 + 1 = ?Para mayor seguridad, responde la siguiente pregunta *