This form is simply a first point of contact. After you have filled it out, we will get in touch with you to personally collect further information about your situation.


Under which telephone number and/or e-mail address can you be reached for queries?

Telefon-Nr. und/oder E-Mail-Adresse

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

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Important information about second opinions

Before you come to the consultation, please check whether your health insurance company will cover the costs of the second opinion. Second opinions are offered regardless of your type of health insurance.

Please also note that we do not issue a written second opinion without having seen the results of the previous examination.