We provide care for all of the ALS patients in Bizkaia and serve as a referral center for the Basque and surrounding regions. Our multidisciplinary team follows a comprehensive palliative care strategy. We strongly focus on achieving the best quality of life for patients and caregivers. We also provide education for patient and caregiver. Finally, we are involved in clinical trials and contribute annually with 25+ post-mortem brain and spinal cord donations to the Basque Brain Bank, plus DNA and serum samples of each patient.