de | en

email address:
Homepage:
URL:
Comment:

Membership

Title basic profession:
Basic profession:
Title osteopathic profession:
Osteopathic profession:

Contact details

Practice 1
Barrier free access:
Name:
Name of practice:
Street:
Zip code:
Town:
Federal state:
Phone 1:
Phone 2:
Fax:
:
:
Practice 2
Barrier free:
:
Name of practice:
Street:
Zip code:
Town:
Federal state:
Phone 1:
Phone 2:
:
:
:
Private
Street:
Zip code:
Town:
Federal state:
Phone 1:
Phone 2:
:
*:
Information regarding your osteopathic training *
Name of school:
Start date of training:
End date of training:
Title after completing training:
Proof of training:
Max file size: 1048576 bytes
Paediatric osteopath: yesno
General information
Which entries should be visible on OEGO’s homepage? (applicable for practice addresses)
Addresses:
Interested in receiving information material, news etc.:
Other:
I agree to the computerized processing of my personal data for purposes related to the association and the profession. I confirm even without my signature the correctness of my entries.
Consent: