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Biobank Pre registration

Clinician Contact Information
Registration date
Patient’s date of birth

Professional Address:


I agree that Helmholtz Zentrum München stores my data for pre-registration of my data and samples in the PURA Biobank and uses my contact data to contact me and communicate about this. The data I provide will be used for that purpose only. I know that I can withdraw my given consent to the collection, use and storage of my personal data at any time by sending my withdrawal to pura-biobank@helmholtz-muenchen.de. If you have any questions about the use of your personal data, please contact our data protection officer at: datenschutz@helmholtz-muenchen.de.