Skip to content
Induase
Induase
Main Menu
GENERAL CASE INFO
Login
My Account
GENERAL CASE INFO
First Name(Nombre):
Last Name(Apellido):
Email
*
Username
*
Password
*
ID Number (Número de Identificación):
Diagnosis (Diagnostico):
Date Submitted (Fecha Enviado) : (today’s date) Company Name (Nombre de Empresa):
Upload PDF or Image:
NUMBER OF FILE:
Scroll to Top