You will find below the registration form to send us duly completed by mail.
It is only when this form 'll be in our possession that we will put the patient in question on the waiting list. A confirmation of receipt will be sent to you.
To easily download these forms, be sure to preferentially use Google Chrome or Mozilla Firefox browsers.
Attention, the consent form has been updated, in order to respect the legislation on the protection of
By submitting this form, you agree that the information entered on this form 'll be
used by Constats asbl to allow him to contact you by email, telephone or fax.
Findings asbl undertakes to use this data only for the purpose for which you have given your consent.