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Type of appointment (done)
Doctor (done)
Day & time (done)
Your details

Type of appointmentFirst appointment for new patients · approx. 30 min.

WhenFriday, 27.11.2026, 10:15

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Your details

Required fields are marked with „Required field“. The time is only reserved for you once you submit.

First name

Last name

Date of birth

Phone number for queries

Email for confirmation and cancellation link

Insurance

Statutory health insurance

Private health insurance

Self-pay

Short note for the practice team (optional)

For example “blood pressure check” or “appointment for my child”. Please do not include detailed medical information – we will discuss that in person.

Reminder (optional)

We will remind you 24 hours before the appointment – only with your consent. The message contains only the date, time and practice.

Yes, remind me by email.

I consent to the practice processing my details for arranging and carrying out the appointment. This also reveals that I am or will become a patient of this practice (health data, Art. 9(2)(a) GDPR). I can withdraw my consent at any time, e.g. by cancelling the appointment.

Your details are stored encrypted and only read by the practice. They are deleted 30 days after the appointment. More in the Privacy policy.

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