Send a clinical case Clinical case name*Discipline*Category*RareStandardizedHardShort description*Files to send* Drop files here or Select filesMax. file size: 10 MB. Name* First Last Email Agreement* I agree to cooperate with "ClinCaseQest" on this clinical case*I have read and agree* I agree with Ethics of the ProjectReflection of personal data* I want my personal data to be reflected in the scenario of a clinical case I don't want my personal data to be reflected in the scenario of a clinical case Agreement* I confirm that I have received consent from the patient to post the data of his examination in the electronic database of clinical cases without his personal data*Photo consent I want my photo (photo of a team of doctors) to be presented in the scenario of a clinical caseAttach a photo Drop files here or Select filesAccepted file types: jpg, jpeg, gif, png, Max. file size: 5 MB, Max. files: 5.I have read and agree* I agree with Privacy PolicyCAPTCHAShare: