Partner Application
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Partners Form
1. Name of the Clinic
*
2. Main contact
*
3. Email
*
4. Phone
*
5. Do you have more clinics?
*
Select an answer
Yes
No
6. Website
*
7. Tell us more about your clinic and the services you offer
*
I consent to the processing of my personal data for marketing purposes, including the sending of promotional communications, newsletters, and offers. Your data will be processed in accordance with applicable data protection laws and will not be shared with third parties without your consent. You have the right to withdraw your consent at any time, and to access, rectify, or erase your data by contacting us through the provided channels.
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