Registration Inquiry

For an inquiry regarding the MITO Circle of Experts, please fill in the form correctly and completely and upload your circle of experts verification (if you belong to one of the professional groups which is required to show such verification). Our MITO team will carefully examine your inquiry and send you an email in case they have any questions. As soon as the registration inquiry is approved, you will receive a confirmation email. Subsequently, you will be able to log into the MITO Circle of Experts with your login information.

Salutation*

Title

Company | Practice name

first name*

last name *

Job Title

Street*

Street (addition)

zip*

location*

country*

e-mail*

Phone*

Website

Upload professional credentials (e.g. license to practice medicine, Heilpraktikerurkunde) according to §2 HWG.

Privacy Note: By checking the box, you agree to let MITO use the data you provided for the circle of expert registration. This data will be sent to and processed by MITOcare GmbH & Co. KG, Thalkirchner Str. 210, 81371 München, notably received, saved and used. Legal framework for processing is Art. 6 Abs. 1 lit. b DSGVO. You can find further information in our data privacy statement as well as our terms and conditions.

Registration request for the MITO Circle of Experts area

Registration Inquiry