Dear Patient, Dear Visitor,

You can use this contact form to write to us if you would like to arrange a non-binding appointment, plan a surgery appointment or have any other wishes or suggestions. You are also welcome to take an active part in shaping this website - just come and see us. If you would like to receive an initial assessment of your facial paralysis or Bell's palsy, the form also offers the possibility of uploading photos/video sequences. You can find out how to create a standardized photo series that will make an assessment much easier here. Of course, we will not pass on any of your material unsolicited. Please enter your full name, email address and other important data. Please note that the total size of the email should not exceed 100 MB.

Good recovery!

 

Your personal data will be transmitted securely by means of SSL encryption on the internet, similar to online banking data traffic. 

 

Your data

*By ticking the box you agree that the data you provide will be collected and stored electronically for the purpose of answering your inquiry. You can revoke this consent at any time by sending us a message. In this case your data will be deleted immediately. For further information, please refer to our privacy policy.