Contact form - FFUA

Are you a doctor and have a question about device usage fees?

Fields marked with an asterisk (*) are mandatory.

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I am a doctor and would like to submit a request to the CNS regarding the new flat rates for equipment usage that will come into effect in 2025. To send my request to the CNS, I fill in the fields on this page and then click on PREVIEW. Next, on the summary page, I check the information provided and confirm by clicking on SEND.

Important

If I send a file using the form on this page, the file must be clearly legible and correctly cropped, have a maximum size of 5 MB, and be in PDF format

Please note! By completing this procedure, I agree to my personal data being processed for the purposes of my request. Click here for more information on the CNS data privacy policy.

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