Consultation and Claims

Fill in the form indicated according to your relationship with HB

  1. Provider






      Full Name of the Data Holder
      ID Type:
      No.
      Notification Address
      E-mail
      Type of Operation You Want to Perform With Personal Data:
      Claim Si QueryYes
      Description
      ¿Attach document?


    • Employee






        Full Name of the Data Holder
        ID Type:
        No.[phone* no-704]
        Notification Address
        E-mail
        Type of Operation You Want to Perform With Personal Data:
        ClaimYES QueryYES
        DESCRIPTION:
        ¿Attach document?


      • Client






          Full Name of the Data Holder
          ID Type:
          No.[Phone* no-704]
          Notification Address
          E-mail
          Type of Operation You Want to Perform With Personal Data:
          ClaimYES QueryYES
          DESCRIPTION:
          ¿Attach document?


        • Other






            Full Name of the Data Holder
            ID Type:
            No.[Phone* no-704]
            Notification Address
            E-mail
            Type of Operation You Want to Perform With Personal Data:
            ClaimSi QueryYES
            DESCRIPTION:
            ¿Attach document?