name and surname address city/town  ·  zip Code  ·  country telephone  ·  e-mail pet name  ·  type of pet message submit cancel

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protection of personal data 
personal information you provide on this form will be included and processed in the file of hospital veterinari santa susanna and may be given to the other veterinary centres of our group
the applicant may exercise the right of acces, modification and cacellation by written notice to our address or email to hvsantasusanna@hveterinari.com, pursuant to article 5 of oganic law 15/1999 for the protection of personal data