Kontakt EN Contact Form 1 2 You can request medical support and a tailormade package by filling in this form. Contact Information (required) Name Degree E-Mail Phone (with international prefix) Address Country Medical Information (optional) Age Gendermalefemale Medical reason for request Actual medical condition Acute painyesno Carried out examinations (with date) and results Additional Information Upload your File(s) Homepage About HTA Range of Services Topics Rehabilitation Inquiries Contact Impressum