Name * Email * Phone Subject * Message * I have read and accept the Privacy Policy (*) * Yes In compliance with the provisions of Law 15/1999, of December 13th of Data Protection, we inform you that the data provided by you through this form will be incorporated into a file owned by ‘CENTRO DE INVESTIGACIÓN BIOMÉDICA EN RED’ duly notified to the Spanish Data Protection Agency. The data will be used to process your request for obtaining biological samples for your research project. We also inform you that your data will be communicated, apart from the cases provided for in the current legislation, to the sample assignment evaluation Committees -Ethical and Scientific Committees-, as well as the collaborating hospitals with CIBER. You can exercise your right of access, rectification, cancellation and opposition in CIBER, in the address Monforte de Lemos Street, 3-5, Hall 11, ground floor, 28029 Madrid or emailing at info@ciberisciii.es specifying in both cases "Protection of data". CAPTCHAThis question is for testing whether or not you are a human visitor and to prevent automated spam submissions. What code is in the image? * Enter the characters shown in the image.