Medical history form – we play it safe

In your as well as our interest it is important for the dentist to gain a comprehensive picture of the patient’s general health before the treatment. That’s why we ask all patients to fill out the medical history form before the first treatment. Like this a lot of treatment risks can be identified and avoided in the run-up. You can download the medical history form here and fill it out at home. Simply hand in the form when you arrive at our practice for the first time. This way you save time and can take your time to fill in the form.

Medical history form German Download PDF

Medical history form English Download PDF

Medical history form Japanese Download PDF

Opening hours

Monday: 8 am - 9 pm
Tuesday: 8 am - 9 pm
Wednesday: 8 am - 6 pm
Thursday: 8 am - 6 pm
Friday: 8 am - 1 pm

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Telephone
089 16 50 87

Email
verwaltung@dr-schoeberlein.de

Dates by arrangement

Private and public health patients