Withdrawal

Using this form, you can submit the withdrawal of your purchase agreement to our customer service. Our customer service will then review whether you have a right of withdrawal in your specific case and how the contract can be rescinded.

First name*

Last name*

Customer number (optional)

Order number*

E-mail address*

*Required field

For the processing of your withdrawal, we, FormMed HealthCare GmbH, process the personal data requested in this form. The processing is carried out for the purpose of handling the withdrawal procedure and the rescission of the contract. For detailed information on data protection, in particular on your rights as a data subject, please refer to our privacy notice at: formmed.com/privacy-notice/