Request edit access
Neuraé. 1 to 1 consultation.
We kindly invite you to book your slot for your complimentary Neuraé consultation, by filling in the form below.
Sign in to Google to save your progress. Learn more
Email *
Name *
Surname *
Phone number *
I wish to have a consultation *
Date and slot *
I consent to subscribe to Neuraé Newsletter *
I consent to receive an sms reminder of my appointment
Clear selection
Questions and comments

By validating the form, I give my consent for the information collected to be used by c.f.e.b. Sisley and Sisley UK Ltd. for data processing, the legal basis for which is consent. The purposes are the management of personalized consultations and their follow-up (including the sending of information and samples, feedback) and the management of NEURAÉ communications.

These data will be kept for a period of time necessary to comply with legal obligations or for

a maximum period of three years from the last purchase / contact. The data are transmitted

to the mother company c.f.e.b. SISLEY (France) and service providers acting on behalf of

c.f.e.b. SISLEY and selected for their expertise.

In accordance with the regulations on the protection of personal data (in particular the Data

Protection Act 2018), you have the right of access, to rectification, to erasure, to data

portability, to restriction or to object the processing and the right to withdraw your consent at

any time by sending a letter, accompanied by a photocopy of your identity document, to the

address according to your country:

- For United Kingdom : SISLEY UK, Clients Service, 33 Foley Street, 5th Floor,

London, W1W7TL. or by e-mail customerservicesuk@neurae.com.

You have the right to lodge a complaint with a competent supervisory authority.

For more information, please read the Personal data protection policy at the following link:

- For United Kingdom : https://www.neurae.com/en-GB/personal-data/


Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Sisley.

Does this form look suspicious? Report