Supplier Search for Patients

Please take a moment to answer the following questions so we can recommend a suitable supplier to you. When collecting personal data via forms, you will be informed about the purpose of the collection and further circumstances in accordance with the requirements of Art. 13 of the GDPR. Find out more about our Privacy Policy here: https://www.fior‑gentz.de/en/privacy-policy.html.

Feldgruppe

If applicable, please mark your indication(s) or medical condition(s):

Feldgruppe

If you are interested in one or several specific product group(s), you can select this/these below:

Feldgruppe

Your Contact Information

Please fill in all mandatory fields (*) so we can recommend a specialist dealer near you.

Your data will only be used by FIOR & GENTZ to process your contact request (Art. 6, para. 1 lit. b GDPR). We only save your data for the period of time required to fulfil the purpose, after which your data will be deleted immediately. In case your enquiry is connected with the issuing of an offer or invoice, we will store your data in accordance with the regulations of the GoBD (principles for the proper management and storage of books, records and documents in electronic form, as well as data access). Your data will not be passed on to third parties. By sending the form, you agree to this. Of course, you can always revoke your consent for the future.

Feldgruppe

If applicable, please mark your indication(s) or medical condition(s):

Feldgruppe

If you are interested in one or several specific product group(s), you can select this/these below:

Feldgruppe

Your Contact Information

Please fill in all mandatory fields (*) so we can recommend a specialist dealer near you.

Your data will only be used by FIOR & GENTZ to process your contact request (Art. 6, para. 1 lit. b GDPR). We only save your data for the period of time required to fulfil the purpose, after which your data will be deleted immediately. In case your enquiry is connected with the issuing of an offer or invoice, we will store your data in accordance with the regulations of the GoBD (principles for the proper management and storage of books, records and documents in electronic form, as well as data access). Your data will not be passed on to third parties. By sending the form, you agree to this. Of course, you can always revoke your consent for the future.


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