Contactform

Date of birth

Street + number

Zipcode

City

Telephone number

Message

Can you tell us why you wish to deregister?

Matchis is working hard to increase the number of stem cell donors. This is why we are curious about why you want to unregister as a stem cell donor. You do not have to answer this, but for us to do our work even better, we would like to receive your reason.

Your medical query

Please provide as much information as possible below. For example, consider medication use, complaints, possible treatments by a doctor or specialist, etc.

What personal data do you want to have amended?

Please include your old and new information below.

Your due date

Please indicate your due date below

Your question about your status as a stem cell donor