The purpose of this form is to gather feedback from patients who have been treated with Urolon™. With your feedback, we are able to improve Urolon™ treatment. In case of an adverse event or incident, please contact your physician immediately.
Privacy: Your privacy is our highest priority. Please do not enter your name or email address in this form. If you do want us to contact you, please contact us via our contact form. Your personal data will be handled according to EU General Data Protection Regulation (GDPR).