New patients

Register as a New Patient

Welcome to the practice. With this registration we prepare your first appointment: we check capacity in the requested specialty and contact you with a proposed appointment.

Salutation

First name

Last name

Date of birth

Street / number

Postal code / city

Phone number

Insurance

Statutory (GKV)Private (PKV)

Insurer name

Desired specialty

Previous family doctor (optional)

Reason for change / concern

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