Request access

For interested professionals (psychologists, physicians), we offer access to CogCheck. Please fill out the following form to register and request access. You will receive your access data by e-mail within the next 24 hours.

Username

Username should be between 3 and 16 characters, including lowercase letters, numbers, underscores, and hyphens. Uppercase letters, spaces, and special characters are not allowed.

Username *

Password

The password must be at least 8 characters long. Use at least one number, one upper case letter and one lower case letter.

Enter a password *

Enter the password again *

User information

Profession *

Full Name *

Email *

Institution informations

Clinic/institution *

Adress *

City *

Postal code *

Country *

Message

Privacy Policy and the General Terms and Conditions (GTCs)

Please read the Privacy Policy and the General Terms and Conditions (GTCs).

I confirm that I have read and accepted the Privacy Policy and the General Terms and Conditions (GTCs). *