Patient service

Forms for
your appointment.

Here you will find all our forms to download. Fill them in at your leisure at home and bring them with you to your appointment. This saves time and lets us focus entirely on you. The documents are intended to help you prepare for your visit. They do not replace the personal information and advice discussions that are required.

On working days, we will call you within 24 hours.

The forms are available in English. The English versions are translations to help you; in case of doubt, the German version applies. If anything is unclear, please ask us. We will be happy to go through the forms with you at the practice.
  1. Downloadtap the form and save it
  2. Print and fill inat your leisure at home
  3. Bring it alongtogether with your health insurance card

For your first visit

  • Medical history formFor new patients

    For your first treatment, we need some information about you and your health. Please bring the completed form to your first appointment. Have you been to us before and has something changed, for example your medicines? Then please fill in the form again.

    DownloadPDF, 129 KB
  • Data protection information

    How we process your data at the practice. On page 2 you can choose, if you wish, whether we may remind you of appointments by text message, for example.

    DownloadPDF, 107 KB

Information and consent

You can read these forms at your leisure beforehand and note down your questions. Please sign only at the practice, after talking to the dentist in person.

  • Local anaesthetic

    Information and consent for local anaesthetic: the techniques, their risks and the alternatives.

    DownloadPDF, 103 KB
  • Root canal treatment

    Information and consent for root canal treatment. Its purpose is to save a tooth that would otherwise have to be removed.

    DownloadPDF, 104 KB
  • Surgical procedures

    Information and consent for tooth extraction, surgical tooth removal and apicectomy.

    DownloadPDF, 106 KB
  • Implantology

    Information and consent for implant treatment. Implants are artificial tooth roots made of titanium.

    DownloadPDF, 107 KB
  • Teeth whitening (bleaching)

    Information and consent for professional teeth whitening.

    DownloadPDF, 160 KB

Information

  • Professional tooth cleaning and prophylaxis

    What our prophylaxis includes and what your health insurer pays for. Page 2 is the agreement; the practice enters the amounts before treatment.

    DownloadPDF, 109 KB
  • Data protection

    You can read how we handle your data in our privacy policy (in German).

    Read the privacy policy
No printer to hand? No problem. You can also fill in all the forms at the practice. Just come a few minutes early. To open the PDF files you need a PDF reader, which is already installed on most smartphones and computers.

No appointment yet?

Give us a call. Together we will find a suitable appointment and answer your questions about the forms.

📞Call 📅Appointment