Revocation

Use this form to submit the revocation of your purchase contract to our customer service. Whether a right of revocation applies in your specific case and how the contract is to be unwound will then be reviewed by our customer service.

First name*

Last name*

Customer number (optional)

Order number*

E-mail address*

*Mandatory field

By submitting this form, the data you provide will be processed for the purpose of handling your request by FormMed HealthCare GmbH, Schönberger Weg 13, 60488 Frankfurt/Main. Your data will be processed strictly for this purpose. Further information about your right of revocation and how we handle your data can be found in our information pursuant to Art. 13 GDPR. Further information on the processing of your data within our website can be found in our privacy notice.