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health insurance company: *

insurance number:

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Do you have one of the following contraindications?

Metabolic disorders

If there is a contraindication, you cannot take part in the online nutrition course, as it is a primary preventive measure that is not used for therapeutic purposes.

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Mental (eating) disorders

If there is a contraindication, you cannot take part in the online nutrition course, as it is a primary preventive measure that is not used for therapeutic purposes.

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A free use can be guaranteed only if you finish at least 80 % of the course.

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Ich bestätige, dass ich in diesem Kalenderjahr noch keine zwei Präventionskurse (auch Online-Angebote und IKK Aktiv-Tage) besucht habe. * I agree that my personal data such as last name, first name, date of birth and insurance number will be forwarded from ESG GmbH to my health insurance company to verify my insurance coverage and for billing the course costs. *

Ich bin damit einverstanden, dass meine persönlichen Daten (E-Mail-Adresse, Versichertennummer, Geburtsdatum und die Anzahl der absolvierten Kurseinheiten) an die mhplus übermittelt werden. * Ich bin damit einverstanden, dass ich die Kosten in Höhe von 89,- Euro selbst trage, wenn ich den Online-Kurs nicht zu 100 % absolviere. *

I agree that my personal data (name, insurance number, date of birth and the number of completed course units) will be transmitted to VIACTIV. I agree that I will have to pay the costs of 89,- Euro myself if I do not complete at least 80% of the online course. *

I`ve read and agree with the terms and conditions and the privacy regulations. *

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Get active now!

Active weight loss with success

Get fit!

Healthy eating in your work life

Start now!

Great that you want to get active

Start now!

It´s easy to change

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