{"content":"
Unfortunately, this appointment is only available to self-payers or privately insured patients.<\/p>\r\n <\/div>\r\n <\/div>\r\n <\/div>\r\n next<\/i><\/a>\r\n <\/div>\r\n \r\n \r\n \r\n \r\n \r\n Last name<\/label>\r\n \r\n <\/div>\r\n \r\n First name<\/label>\r\n \r\n <\/div>\r\n \r\n e-mail*<\/span><\/label>\r\n \r\n <\/div>\r\n \r\n Phone number<\/label>\r\n \r\n <\/div>\r\n \r\n Message to the doctor<\/label>\r\n <\/textarea>\r\n <\/div>\r\n <\/div>\r\n <\/div>\r\n \r\n \r\n\t\t\t\t\t\tPlease insert the character string.<\/p>\r\n\t\t\t\t\t\t\r\n \r\n en[Klinikkontaktform, Captcha Label\t]<\/label>\r\n \r\n\t\t\t\t\t\t<\/div>\r\n \r\n Data Protection Statement<\/h3>\r\n Please refer to the Data Protection Statements<\/a> available here for the information required for the management of your personal data.<\/p><\/p>\r\n <\/div>\r\n <\/div>\r\n <\/div>\r\n <\/div>\r\n \r\n \r\n \r\n \r\n \r\n <\/i> \r\n I am over 16 years of age. I give my consent for Deutscher Verlag fuer Gesundheitsinformation GmbH to collect, process and make use of my personal data, in particular, my health data, in connection with the Leading Medicine Guide and to forward this data to the physician selected by me for the purposes of advice or treatment. *<\/span><\/span>\r\n <\/label>\r\n <\/div>\r\n <\/div>\r\n \r\n \r\n \r\n <\/i> \r\n I accept the General Terms and Conditions<\/a> available here. *<\/span><\/span>\r\n <\/label>\r\n <\/div>\r\n <\/div>\r\n next<\/i><\/a>\r\n <\/div>\r\n <\/fieldset>\r\n \r\n \r\n \r\n \r\n \r\n <\/div>\r\n <\/div>\r\n \r\n \r\n <\/div>\r\n <\/div>\r\n <\/div>\r\n <\/div>\r\n Request firm appointment<\/button>\r\n <\/div>\r\n<\/form>\r\n\r\n\r\n
Please insert the character string.<\/p>\r\n\t\t\t\t\t\t\r\n
Please refer to the Data Protection Statements<\/a> available here for the information required for the management of your personal data.<\/p><\/p>\r\n <\/div>\r\n <\/div>\r\n <\/div>\r\n <\/div>\r\n \r\n \r\n \r\n \r\n \r\n <\/i> \r\n I am over 16 years of age. I give my consent for Deutscher Verlag fuer Gesundheitsinformation GmbH to collect, process and make use of my personal data, in particular, my health data, in connection with the Leading Medicine Guide and to forward this data to the physician selected by me for the purposes of advice or treatment. *<\/span><\/span>\r\n <\/label>\r\n <\/div>\r\n <\/div>\r\n \r\n \r\n \r\n <\/i> \r\n I accept the General Terms and Conditions<\/a> available here. *<\/span><\/span>\r\n <\/label>\r\n <\/div>\r\n <\/div>\r\n next<\/i><\/a>\r\n <\/div>\r\n <\/fieldset>\r\n \r\n \r\n \r\n \r\n \r\n <\/div>\r\n <\/div>\r\n \r\n \r\n <\/div>\r\n <\/div>\r\n <\/div>\r\n <\/div>\r\n Request firm appointment<\/button>\r\n <\/div>\r\n<\/form>\r\n\r\n\r\n