To place your order, proceed as follows:

  • Open the forms

1. Order form

2. Form "Data of Health Care Facility"

opt. Credit Card Authorization

3. License Contract

  • Fill in the PDF form at your computer
  • Store the PDF form (input will be stored) - as a backup
  • Print the PDF
  • Sign the print
  • Repeat for all requested forms
  • Send all printed forms via fax or standard mail (avoid email for credit card data)