Pet FMT Project

Informed consent

Welcome!

If you are on this page, it means that you and your veterinarian have decided to use fecal transplantation in an attempt to improve your pet’s health.
You are therefore about to complete the informed consent form.
We believe it is important and helpful for you to know what we will be doing over the coming weeks.
So please read carefully the document you are about to sign — it is worth it.If you have any questions afterward, we are at your disposal.

Barbara Simionati • EuBiome CEO

1. Read the "Informed consent".

2. Fill in the form below.

3. Upon submission, you will receive the pre-filled PDF of the “Informed Consent” by email.

4. Download it, review it, and complete it by adding the “place” and signatures.

5. 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 *

Country of birth *

Date of birth *

Residence details

Address *

Country

Province

City *

Postal code *

Contact details

Email *

Phone number *

Animal details

Pet’s name *

Species *

Sex *

Female

Male

Breed *

Date of birth *

Weight *

Microchip

Etichette

Proprietario ricevente

Diagnosis *

Enteropathic

Dermatopathic

Authorizations

Consent to the use of data for research purposes *

I agree

I do not agree

Privacy consent *

I give my consent

I do not give my consent

Referring veterinarian *

Invia

I have read the Privacy Policy By clicking Submit, I give my consent to the processing of personal data.

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

Residence details

Contact details

Animal details

Authorizations

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

Residence details

Contact details

Animal details

Authorizations

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.