• Your information

  • Preferred Language*
  • Salutation
  • Title
  • What is your role area? (Select all that apply)*
  • Select your business role*
  • Select your medical role*
  • Your clinic information

  • Do you already have a clinic?*
  • Do you plan to have a clinic?*
  • Your clinic focus

  • What is the medical focus of your practice?*
  • Which complementary focus or therapies does your practice offer?*
  • Your staff, patients, and vision

  • Do you currently have qualified medical staff (physicians and nurses)?*
  • Please note: All personnel performing Inuspheresis® on patients must complete an official training provided by Ayus Medical Devices. Our team will contact you to arrange a training.

  • Do you have an existing patient pool?*
  • When would you like to start providing Inuspheresis® treatments?*
  • Your experience with Inuspheresis®

  • How did you hear about Inuspheresis®?*
  • Do you have experience with Inuspheresis®?
  • Comments, questions

    • Data protection and consent terms 
    • By submitting this form, I confirm that I consent to the collection, processing, and storage of the personal and professional data provided by me to Ayus Medical Devices AG.

      The data will be used exclusively for the following purposes:
      1) Administration and maintenance of the Inuspheresis® partner network
      2) Verification and updating of roles, qualifications, training, and certification status
      3) Quality assurance, compliance, and internal documentation
      4) Communication related to training, certification, partnership management, and listing on Inuspheresis.com
      5) Organization of trainings, updates, and partner-related information
      6) Data processing is carried out in accordance with the Swiss Federal Act on Data Protection (FADP, rev. 2023) and, where applicable, the EU General Data Protection Regulation (GDPR).

      Personal data will only be shared internally within Ayus Medical Devices AG and affiliated entities, and with carefully selected service providers (e.g. IT, hosting, or training partners) where necessary for the purposes stated above. No data will be shared with third parties for marketing purposes.

      I understand that I have the right to access, rectify, delete, or restrict the processing of my personal data in accordance with applicable data protection laws. I may withdraw my consent at any time with effect for the future. I may withdraw my consent at any time with effect for the future, and my data will be retained only as long as necessary for these purposes and to comply with applicable legal and regulatory requirements, in particular medical device traceability obligations.

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