Please read our Privacy Policy before submitting this form

Congenital Deformity Specialist *

Yes

No

Pediatrics *

Yes

No

Limb lengthening with internal nail *

Yes

No

Main Hospital

Second Hospital

Third Hospital

I have read and understood the privacy policy set out above and by filling out the specific form provided by Orthofix with my Personal Data and by sending it back to Orthofix, I hereby consent that, to the extent necessary for the purposes set forth above, Orthofix includes my Personal Data in the Surgeon Locator database. It remains understood that my Personal Data cannot be collected and processed in connection with the Surgeon Locator in case I do not fill out the specific form provided by Orthofix and send it back to Orthofix.