Registration for surgery

And you're already at the second and last step...

2Send
photos

In addition to the contact form below, please send us the following
in a separate e-mail: info@merck-ecs.com
1 photo from the front
1 photo from the back

Please make sure:
both ears are visible in each photo


Please select a file name which is a combination of your names, such as ”Last name_First name_1.jpg” so that we can correctly attribute photos to you.

Please calculate 2 plus 2.

You can also add a black bar over your eyes so that you are not identifiable, if you like. 
We will always handle your request confidentially.

Thank you very much.
We will contact you as soon as possible after processing your information.

Your Dr. Merck Team