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:

      ClaimSiQueryYes

      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?