Membership Application

After submitting the application you will receive an email to confirm. With the link provided there, you can edit your profile and upload your photo.

IAB-interne Benutzer-Angaben

* Required Information

User Name *

Please create your user name.
It cannot be changed aterwards.

Email Address *

Angaben zur Person

General information

Prefix *

Title

Photo

Photo (Only .jpg/.jpeg/.gif/.png; max. 1200 x 1200 Pixel)

First Name *

Name *

Special IAB Interest Areas *

Please list any special interest area you're interested in and you wish to be kept up to date about the work of:

Visibility Release of Following Information
(Member's Personal Information and Business Address No. 1) *

Profession / Activity Designation *

(e.g. Neurologist / Physiotherapist / Member of Patient Support Group)

Practice Area

(e.g. Gait Disorders / Botulinum Toxin / Pediatric Patients /
Dysphagia Therapy / Deep Brain Stimulation / LSVT®)

Special Notes (e.g. Professional, Personal)

Share a few information (e.g. biographical details, special services) to supplement your profile! The information could be publicly visible.

Employment Type *

Multiple Choice with CTRL (or CTRL) Possible

Employment Type (Others)

Type of Business / Organization

Contact data (No. 1)

Type of Business / Organization (Others)

Business / Organization / Institution Name No. 1

Department (e.g. Neurology / Pediatrics / Marketing) No. 1

Position Title / Primary Role
(e.g. Head of Institution / Secretary) No. 1

Address (No. 1)

Post / ZIP Code (No. 1) *

Town / City (No. 1) *

Country (No. 1) *

Email Address (No. 1) *

Phone (No. 1)

Mobile (No. 1)

Fax (No. 1)

Web Site (No. 1)

Special Notes About
Your Business / Organization / Institution No. 1

Share a few information to supplement the profile of your business / organization / institution no. 1 (e.g. opening hours, direction, special services)

Further contact data (No. 2)

Visibility Release of Following Information
(Business / Organization / Institution No. 2) *

Business / Organization / Institution Name No. 2

Department (e.g. Neurology / Pediatrics / Marketing) No. 2

Position Title / Primary Role
(e.g. Head of Institution / Secretary) No. 2

Address (No. 2)

Post / Zip Code (No. 2)

Town / City (No. 2)

Country (No. 2)

Email Address (No. 2)

Phone (No. 2)

Mobile (No. 2)

Fax (No. 2)

Web Site (No. 2)

Special Notes About
Your Business / Organization / Institution No. 2

Share a few information to supplement the profile of your business/ organization / institution no. 2 (e.g. opening hours, direction, special services)

Further contact data (No. 3)

Visibility Release of Following Information
(Voluntary / Private Information / Home / Alternate Business No. 3) *

Voluntary / Private Information / Home / Alternate Business No. 3

Department (e.g. Neurology / Pediatrics / Marketing) No. 3

Position Title / Primary Role
(e.g. Head of Institution / Secretary) No. 3

Address (No. 3)

Post / ZIP Code (No. 3)

Town / City (No. 3)

Country (No. 3)

Email Address (No. 3)

Phone (No. 3)

Mobile (No. 3)

Fax No. 3

Web Site (No. 3)

Special Notes About
Your Voluntary / Private Information / Home / Alternate Business No. 3

Share a few information to supplement the profile of your voluntary / private information / alternate business no. 3 (e.g. opening hours, direction, special services)

Correspondance addresses

Preferred Mailing Address for Correspondance *

Preferred Email Address for Correspondence *

Your password of your IAB account will be sent via Email to you.
Please contact us if you would like to ask any questions.

Unsere Zertifizierer

Testimonials

Sorry, this entry is only available in Deutsch.

Erzählen Sie doch ein auch wenig von Ihren Erfahrungen mit IAB!

Get in touch with us!

Name (required)

E-Mail Address (required)

Your Message

If you send us requests via our contact form or email, your details from the contact form or email, including the contact data you have provided there, will be stored for the purpose of processing your request and in the event of follow-up questions. You are required to provide an email address to contact us. Your name is optional. Under no circumstances will we pass on this data without your consent. The legal basis for processing the data is our legitimate interest in responding to your request pursuant to Art. 6 para. 1 lit. f GDPR and, if applicable, Art. 6 para. 1 lit. b GDPR, provided that your request is aimed at concluding a contract. Your data will be deleted after final processing of your request, provided that there are no legal storage obligations to the contrary. You can object to the processing of your personal data at any time in the case of Art. 6 para. 1 lit. f GDPR.