Pet FMT Project

Informed consent

Welcome!

Ecco la traduzione in inglese del testo richiesto:
If you are on this page, it means that you and your veterinarian have decided to use fecal transplantation to try to improve your pet’s health.
You are now about to fill out the informed consent form.
We believe it is important and helpful for you to know what we will be doing in the coming weeks.
So please read the document you are about to sign carefully — it's worth it.
If you have any questions, we’re here to help.

Barbara Simionati • EuBiome CEO

1. Read the "Informed Consent" (download the original PDF or go to the web version)

Enter the information in the form below (it’s the same data as in the original PDF)
Once submitted, you will receive the pre-filled PDF file of the "Informed Consent" via email
Download it, review it, and complete it with the "place" and signatures
Send it to your veterinarian for their signature and copy EuBiome by replying to the email you received

Campo da nascondere *

Owner's personal details

Title *

Name *

Surname *

City of birth *

Province of birth *

Stato di nascita *

Data di nascita *

Codice fiscale *

Dati di residenza

Indirizzo *

Nazione

Provincia

Città *

CAP *

Recapiti

E-mail *

Telefono *

Dati dell'animale

Nome dell'animale *

Specie *

Genere *

Femmina

Maschio

Razza *

Data di nascita *

Peso *

Microchip

Etichette

Proprietario ricevente

Diagnosi *

Enteropatico

Dermatopatico

Autorizzazioni

Consenso all'utilizzo dei dati per ricerca *

Accetto

Non accetto

Consenso privacy *

Presto il consenso

Non presto il consenso

Veterinario referente *

Invia

Ho preso visione della Privacy Policy Cliccando su Invia presto il mio consenso al trattamento dei dati.

Inform your pet-loving friends and acquaintances about the FMT Pet Project.

Subscribe to the newsletter

You will be updated on the Pet FMT Project, the initiatives to support it, the stories of the animals that participate, the new discoveries of the incredible world of the microbiome and fecal transplant.

Pet FMT Project

Informed consent

Welcome!

Owner's personal details

Dati di residenza

Recapiti

Dati dell'animale

Autorizzazioni

Follow us

Inform your pet-loving friends and acquaintances about the FMT Pet Project.

Condividi

Subscribe to the newsletter

You will be updated on the Pet FMT Project, the initiatives to support it, the stories of the animals that participate, the new discoveries of the incredible world of the microbiome and fecal transplant.

Seguici

The project

Veterinarians

Pet owners

Researchers

Pet FMT Project

Informed consent

Welcome!

Owner's personal details

Dati di residenza

Recapiti

Dati dell'animale

Autorizzazioni

Follow us

Inform your pet-loving friends and acquaintances about the FMT Pet Project.

Condividi

Subscribe to the newsletter

You will be updated on the Pet FMT Project, the initiatives to support it, the stories of the animals that participate, the new discoveries of the incredible world of the microbiome and fecal transplant.