Contact form

Please enter here comments or questions in relation with the surgery of atrial fibrillation database. If you wish us to connect to a specific patient we need the following information: hospital reference number, num_auto, num_proc.

If an software error occurs please send us the circumstances and a copy (copy and paste) of the screen.

Please use this contact form to send us your public RSA key. Only those Behra validated Emails will receive a login and a password

 

Please, do not use accentuated characters. Use only the mouse. Do not use "Enter" or "Return".

 

First name:                                             

Last name                                              

Title:                                                      

Professional adress ,phone ,fax                                            

 

Email:                                                      

Your comments/questions: (do not place any web link in this text area)

                      

Enter the 5 numbers shown on the image here:              

 

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