You have two options for sending us your data. You can download our questionnaire here, fill it out and send it to us together with your medical documents (doctor’s, laboratory, pathology reports, etc.) by mail or scan or photograph them and send them to us by email. Attention: Please send us only the reports and no pictures or DVDs.

OR

You fill out the following form (3E questionnaire) and also send us your medical data by mail or email.

Questionnaire

You can download our questionnaire HERE.

3E Medical History Questionnaire