To confirm, your appointment form must be processed and our secretariat must propose an appointment date.Without confirmation on your part, the slot cannot be reserved. Last name *First name *Date of birth *Appointment date to be confirmed *Enter the appointment date sent by our secretariat for confirmation.Email address *Phone number *Privacy policy * By submitting this form, you certify that you have read and accepted the following terms and conditions: The collection of information by email is necessary to process your request. The data collected is for the exclusive use of the Medical Imaging Center (IHU Strasbourg) and will not be communicated to third parties under any circumstances. You have the right to access, rectify, oppose and delete your personal data. You may exercise your rights at any time directly by e-mail to dpo@ihu-strasbourg.eu or by post, indicating your e-mail address: Institut de Chirurgie guidée par l'Image (IHU Strasbourg) - DPO - 1 place de l'Hôpital - 67091 Strasbourg Cedex, France. By submitting this form, you also consent to the processing of your personal data in accordance with our privacy policy. Send messagePlease do not fill in this field.
