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Asociación Ondine
Registro de la asociación española de Hipoventilación Central Congénita
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Email
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Your email
Nombre del paciente
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Fecha de nacimiento
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MM
/
DD
/
YYYY
DNI
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Nombre del tutor/es
*
Your answer
Nombre del tutor/es
*
Your answer
Dirección de correo electrónico
*
Your answer
Dirección de correo físico
*
Your answer
Teléfono/s de contacto
*
Your answer
Mutación
*
Your answer
Modo de ventilación
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Respirador
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Enfermedades asociadas
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Otros datos de interés
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