Dear 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 |  |
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| Registration form for patients (English) | |
|
| Information Sheet Cosmetic Injections (Information / treatment agreement / invoice / receipt) |
|
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| Information sheet In-Office-Bleaching (Information / treatment agreement / invoice / receipt) |
|
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| Patient Information MRI Sellink | |
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| Preparation for a Colonoscopy | |
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| Patient Information Sheet about Pain Irradiation | |
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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.
