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Request for appointment

 

Do you wish an appointment at our clinic? Send your request online! You will receive a.s.a.p. a confirmation from us.



Gynäkologen Frauenärzte

Please provide us your personal data here:

First and last name:* 

E-mail address:

Street address:*

City:*

Phone:

 

Fax (required if asking for a fax confirmation): 

*) Required fields

Please select one or more of the following services for your next appointment:

Fertility advice Cancer prevention check-up
Teenager consultation Mammography
IUD implant Cancer aftertreatment check-up
Anti-aging therapy Hormonal substitution halfyear check-up
Pregnancy regular check-up Check-up 6-8 weeks after delivery
Check-up after surgery Acupuncture
Contraceptive administration halfyear check-up Mammasonography
 
Please select the day and time the most convenient for your appointment:
Mornings
Afternoons
Mornings or Afternoons
 
Please write here your particular issues and concerns you want to discuss during this appointment (if any):
 

Please select the type of confirmation you wish to receive:

E-mail      Phone      Fax


Thank you !

 

 

 

 

 

 

 

 

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