Forms
Here you can download the most important forms. The forms are in German. If you have any questions about them, please contact us.
-
Information sheet for adults
Download: Information sheet for adults (PDF, 64 KB) -
Questionnaire for adults
Download: Questionnaire for adults (PDF, 70 KB) -
Information sheet for children
Download: Information sheet for children (PDF, 64 KB) -
Questionnaire for children
Download: Questionnaire for children (PDF, 72 KB) -
Findings from your family doctor
Download: Findings from your family doctor (PDF, 177 KB) -
Laboratory request
Download: Laboratory request (PDF, 48 KB) -
Patient information on data protection
Download: Patient information on data protection (PDF, 69 KB)
Contact
If you have questions or suggestions about our services, you can reach us by phone, by email or in person at our practice. Please make appointments by phone or in person only.
This website has been translated for you. In our practice, we speak German. If possible, please bring someone who can translate for you. We look forward to your visit.
-
WhatsApp
For further questions, send us a WhatsApp message.
Message us on WhatsApp -
Phone
Landline: 0261 16 01 42
Call us
Fax: 0261 16 01 44 -
Address
Anästhesie-Gemeinschaftspraxis
Hohenfelder Straße 17
56068 Koblenz Show map
OpenFreeMap © OpenMapTiles · Map data © OpenStreetMap contributors
Plan your route with Google Maps, Apple Maps or OpenStreetMap