First appointment
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Appointment by phone

089 547041-0

First appointment
Availability by phone
Monday 7:00 – 16:00 h
Friday 7:00 – 13:00 h
Opening hours practice clinic
Mon–Thu 7:00 a.m. – 4:00 p.m.
Friday 7:00 a.m. – 1:00 p.m.

Questionnaire for the First Appointment

Fields marked with * are required.

General Information

Do you have children?
Do you have any known allergies?*
Are you taking any medications?
Do you have any significant prior surgeries?
Do you or have you suffered from serious illnesses?
Have any members of your immediate family (mother, sister, aunts) been diagnosed with ovarian or breast cancer?
Do any of your first-degree relatives (parents, siblings) have cardiovascular diseases (heart attack, stroke, thrombosis)?

What is the reason for your visit?

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We ask for your patience. Your enquiry will be processed.

We ask for your patience. Your enquiry will be processed.

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