Logo Frauenarzt
Home   Team   Services   Basics   Prescriptions   Appointments   Links   How to get here   Contact   Legal   Zur deutschen Version
 Willkommen
  Use this form for a request for an appointment
 


Please fill out all the necessary boxes below in order to request an appointment, with an alternative, listing them in order of convenience.

Monday 8 – 11.30 am and 3 – 5.30 pm
Tuesday 7 – 11.30 am and 3 – 5.30 pm
Wednesday 8 – 11.30 am    
Thursday 8 – 11.30 am and 3 – 5.30 pm
Freitag 8 – 11.30 am and 12.30 – 1.30 pm


Please allow 24 hours for a reply. We will reply to your e-mail address. If urgent, please make your appointment by telephone.

Please note that this facility will only work using standard browsers, i.e. Internet Explorer Version 6 and upwards and Firefox Version 2 and upwards.

Mandatory fields are marked with an asterisk *

I am already a patient:* Yes     No
Last name:* First name:*
Date of birth:*
Tel. No.:* Fax no.:
E-mail:*
Select doctor:* Wolfgang Hagemann
Dr. Alistair McLean
Dr. Cora Warlimont
Reason for your visit:*
Appointment requests:  
Preferred appointment*    
Alternative appointment*  
Special requests  Formular abschicken

Your personal information given here will be treated confidentially, will not be stored and will not be passed on to third parties.