Patient registration

What happens after you register?

We email your patient identifier and the information sheet for the programme you chose. The consultation date is arranged afterwards.

What data do we need?

Treatment requires medical identification, so we ask for your birth details, your mother's name and your social security number. These are handled confidentially, in accordance with the GDPR.

Contact

info@MicroBiomeBank.com
+36 30 013 5000

* Fields marked with a red asterisk are required.

Personal details

Last name

First name

Place of birth

Date of birth

Mother’s maiden name

Social security number

Sex

Preferred language

Contact information

Postal code

City

Address

Country

Email address

Phone number

Registration details

Programme

Condition

How did you hear about us?

Message

Subject

Message

I have read and accept the MicroBiome Bank Privacy Policy.

To continue, you must accept the Privacy Policy.

After registration we will send you the Donor Information Sheet and the pre-screening questionnaire. Your personal data is handled confidentially in accordance with EU GDPR regulations.

Thank you! We have received your registration and will be in touch shortly.