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Name
E-Mail
Subject
Message I expressly consent to the information I have provided in this form—which may include health data (e.g., regarding psychological issues or a child's development)—being collected, stored, and processed by the practice PRAKSIS (Dieter Schardt) for the purpose of handling my inquiry and scheduling an appointment (Art. 9 para. 2 lit. a GDPR). I am aware that transmission via the form or email is not end-to-end encrypted. If I am submitting the inquiry on behalf of a child, I confirm that I have the legal authority to represent them. This consent is voluntary and may be revoked at any time with future effect by sending an email to info@praksis-kjp.de or by calling the practice. Processing carried out prior to such revocation remains lawful. Bitte beweise, dass du kein Spambot bist und wähle das Symbol Herz.