Appointment request

Request an Appointment

Send us an online request for acute or routine appointments. We will reply by email or phone — usually within one business day.

Salutation

First name

Last name

Date of birth

Phone number

Are you already a patient with us?

YesNo

Insurance

Statutory (GKV)Private (PKV)

Urgency

Acute (today / tomorrow)This weekRoutine / check-up

Reason

Preferred date (optional)

I consent to the processing of my data per the Privacy Policy.