Forms

FormulareDear patients,

Here you will find forms which enable you to prepare yourself for the first visit in our clinic.

You can print and bring them filled to the appointment.

If you would like to fill in the forms in our practice, we can also hand them over to you at the reception desk. In this case please come about 20 minutes earlier to the first consultation.

Your CityPraxen Team

Forms (PDF-Document) Open Download
Medication plan PDF-dokument öffnen und ausfüllen PDF-dokument speichern
Registration form for patients (English) PDF-dokument öffnen und ausfüllen PDF-dokument speichern
Information Sheet Cosmetic Injections
(Information / treatment agreement / invoice / receipt)
open and fill PDF-document download PDF-document
Information sheet In-Office-Bleaching
(Information / treatment agreement / invoice / receipt)
PDF-document open PDF-document save
Patient Information MRI Sellink open PDF-document download PDF-dokument
Preparation for a Colonoscopy open PDF-document download PDF-document
Patient Information Sheet about Pain Irradiation open and fill PDF-document download PDF-document

Please use the latest version of the Adobe Reader program for storing and filling out forms in PDF format. You can download and install the latest version for free using the following link: https://get.adobe.com/reader/?loc=en.