In order to give you precise advice on your situation and your health, we would ask you to complete this questionnaire conscientiously and as completely and truthfully as possible. All diseases that have also been experienced and healed in the past should be noted.
Please, email your completed questionnaire to firstname.lastname@example.org or send it by fax 00420 234 770 295.
These are the websites of ISCARE a.s., based in Prague 9, Českomoravská 2510/19, Postal Code 19000, Company ID: 61858366, registered in the Commercial Register kept by the Municipal Court in Prague, Section B, File 2703. The company ISCARE a.s. is no longer a member of SYNBIOL Group as effective from May 22nd 2021, based on the announcement of the manager of Group – SynBiol, a.s. company, IČO 26014343. The manager announced that the Group does not exist anymore from the date and directly or indirectly controlled persons will not be subject to uniform management in the sense of §79 par. 1, Business Corporations Act.