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
Anzahl der Katzentoiletten im Haus
Gibt es Probleme mit Unsauberkeit?
Gibt es Verhaltensauffälligkeiten?
Ist bereits aggressives Verhalten beim Tierarzt aufgefallen?
Gibt es Schwierigkeiten beim Transport in die Tierarztpraxis?
Visit reason*
GDPR consent
Data protection information
For the professional treatment of your animals and their billing, the storage of certain personal data is necessary, for which we ask for your consent below.
As a pet owner, I agree that the veterinary practice may store and use the following data in order to provide the best possible care:
- my address,
- my communication data (e.g. telephone number, e-mail address),
- data related to the treatment of my animals and
- curative treatments and medication administered.
I consent to my data being passed on to the extent necessary to
- external laboratories,
- external service providers required for billing (e.g. clearing offices),
- pet registers (e.g. TASSO),
- other veterinary practices in the event of a referral and
- external service providers for the purpose of communication with the practice.
In addition, the data will only be passed on to third parties within the legal framework, i.e. if necessary only with my renewed consent.
I agree to this,
- to be informed by the practice about upcoming vaccinations for my animals and
- to be informed about current information from the practice.
I can request information about the scope of the stored data at any time.
I have been informed that this declaration is made on a voluntary basis and can be revoked by me at any time. In this case, data already collected will be deleted.
Treatment contract
Treatment contract
I confirm that I am the owner of the animal and therefore authorized to conclude a contract for the performance of necessary treatments and operations. I further confirm that I am willing and able to bear the resulting costs. In this connection, I declare that I am not in any legal debt proceedings at the time of this declaration. If I am not the owner of the animal, I declare that I am acting on behalf of the owner of the animal. In the absence of an authorization or if the animal owner denies an authorization, I hereby confirm that I will be responsible for the costs arising from the treatment. If necessary for the diagnosis, I authorize you to use the services of third parties (laboratory tests, etc.) in my name and at my expense.
I hereby confirm that the information I have provided is correct and authorize you to examine or treat my animal and assure you that I am authorized to do so. I acknowledge that after the examination of my animal I must pay the treatment costs incurred in cash, by EC card or by credit card. Subsequent treatments are also subject to this contract.
With my signature, I agree to the treatment contract and the data protection declaration of consent within the scope of the intended purpose.
Please sign in the following field:
Thank you for booking your appointment. See you at the practice.
Please note that this appointment can only be requested and not booked. We will contact you immediately regarding your appointment request.