Fields marked with * are mandatory. All other fields are optional and do not need to be filled in.
Contact details
Please enter your telephone and mobile number separately with the country code (+49 for Germany) and the phone number.
Phone no.* (or enter a mobile no.)
Mobile no.* (or enter a landline no.)
Patient
If you would like to book an appointment for more than one animal, please first make the booking for just one animal. Once you have completed your appointment booking, you will then have the opportunity to book appointments for additional animals.
Pet insurance
Available treatments
Visit reason*
GDPR consent
Data Protection and Consent
For the proper treatment of your animals and the corresponding billing, it is necessary to store certain
personal data. We therefore request your consent.
As a pet owner, I agree that the veterinary practice may store and use the following data:
• My address
• My contact details (e.g. telephone number, email address)
• Data related to the treatment of my animals
• Records of treatments and medications administered
I agree that my data may be shared, where necessary, with:
• External laboratories
• Billing service providers
• Pet registries (e.g. TASSO)
• Other veterinary practices (referrals)
• External communication service providers
Further disclosure only occurs within legal requirements and with renewed consent if necessary.
I may request information about stored data at any time. This consent is voluntary and may be revoked at
any time. Data will then be deleted.
Treatment contract
Owner Declaration and Agreement
I confirm that I am the owner of the animal and authorized to approve treatment. I am willing and able to
bear the costs incurred.
If I am not the owner, I confirm I act with authorization. Otherwise, I accept financial responsibility.
I authorize third-party services (e.g. laboratory diagnostics) if required.
I confirm that my information is accurate and authorize examination/treatment. Payment is due
immediately after treatment unless otherwise agreed.
Please sign in the following field:
Please note that this appointment can only be requested and not booked. We will contact you immediately regarding your appointment request.