Book online - arztbesuche

Thank you for entrusting us with your visit. We will collect some data for the physician to contact you. This will just take about one minute. Your data will be sent to the physician on duty immediately afterwards.

Your Contact Information

First Name *

Last Name *

Date of Birth *

⚠️ Attention: It appears you wish to book a home visit for a very young child. Unfortunately, there are currently no doctors on duty who can treat such young children. We are very sorry, but we cannot accept your data.

Address and Contact

Street and House Number *

Postal Code *

Different name on doorbell

Name on Doorbell

Phone Number *

The doctor will call you briefly before the visit.

Email Address *

In case there are follow-up questions after the visit.

ℹ️

Physical Complaints *

I am not the patient myself

My First Name

My Last Name

Different billing address

First Name

Last Name

Company

Street and House Number

Postal Code

City

Insurance and Appointment

Health Insurance Status *

private statutory

Warning: If you have statutory health insurance, your insurance company will unfortunately not cover our service. You will have to pay the invoice (usually 150 to 200 €) yourself!

Health Insurance Provider

Visit Desired *

immediately on another date

Summary

Please review your entered information:

Yes, I accept the terms and conditions and agree to the processing of the entered data. *

Yes, I would like to receive a confirmation by email.

Yes, I would be happy to complete a short feedback form a few days after the home visit to help improve the quality of Arztbesuche.de.

Language:

Deutsch
English

Privacy
Imprint
Book online