Registration Form

1.Personal Information
2.Invoice Contact Details (if different)
3.Inscription quote
4.Payment methods
Confidentiality clause
In compliance with Law 15/1999 of December 13, Protection of Personal Data, we inform that the personal information requested in this Website shall be included in a computerized database CLINICA PLANAS ownership, with the purpose, unique and exclusive to fulfill your request. Also, the user is at all times of the rights to information, access, rectification, cancellation and opposition, which can be done by e-mail to doctor@clinica-planas.com, or mail to the registered office at Calle Pere II Montcada, 16 - 08034 de Barcelona.