Contact request for patients

To make an appointment for professional genetic counselling or if you have any questions, please fill out the contact form below. We would be pleased to assist you.

Family name

First name

Age

Address

Postal code

City

E-Mail

Telephone for queries

I can best be contacted on the following days/at the following times

I am interested in the following indication/question in connection with Hirslanden Precise Bitte ausfüllen

There are already relevant diagnoses in my family

Yes

I already have an attending doctor

Attending doctor's details:

Last name

First name

Address

Postal code

City

You have the opportunity to register various requests or to provide us with information. We will use your personal data that you have entered only for the purposes mentioned by you or listed during registration. Your data will then be deleted as soon as possible unless we are legally obligated to store it. You will always have the right to information, rectification, restriction, data portability, objection, erasure and in certain cases the right to lodge a complaint with a competent supervisory authority. You may revoke your consent at any time via the following e-mail address datenschutz@hirslanden.ch.

I accept this data processing, and I have read the Terms of Use and the Privacy Policy and consent to them.

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Please don't fill out this field if you are a human being*

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Contact

Hirslanden Precise - genetic medicine

Forchstrasse 452 8702 Zollikon

+41 44 511 39 11

E-Mail

The family tree form is an essential document in genetic counselling. It shows which genetic counselling could bring you added value. If you wish, you can fill it out and take it with you to the genetic counselling session.

Family tree form

PDF | 74.08 KB

Family tree form