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.
Mobile 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
Visit reason*
GDPR consent
Consent/ Information on Data Processing according to the basic data protection regulation
Consent to the transmission of information by e-mail, SMS and postal mail and to the processing of personal data for an unlimited period of time
I agree that the veterinarian may process my email address and other data provided in the registration form for an unlimited period of time for the purpose of providing information about veterinary services ( maximum once a month ) and/or reminders about appointments, such as vaccinations or deworming. I can revoke my consent at any time with effect for the future by notifying the veterinarian by e-mail or letter free of charge. The legality of the processing carried out on the basis of the consent until the revocation is not affected by the revocation.
Information on data processing according to the General data Protection Regulation ( DSGVO - Datengrundschutzverordnung )
1. Processing of personal data
Personal data will only be processed by us if it is permitted by law or if you consent to the data processing of your personal data. We process your personal data in particular within the framework of a legal permission on the legal basis of Article 6 (1) (b) DSGVO , in order to fulfill a treatment contract with you , or to carry out necessary pre-contractual measures, which follow your request . If you have consented to the sending of information by e-mail, the data processing will be carried out on the legal basis of Article 6(1)(a) DSGVO.
Accordingly, the purpose of processing your personal data is to process your requests for treatment, to maintain the necessary medical records in the event of treatment, for documentation required by law and for billing our services. For these purposes, these data may also be passed on to third parties on the legal basis of Article 6(1)(b), which we absolutely need to fulfill the treatment contract ( e.g. referral practices/ clinics, laboratories, etc.).
If you have consented to receive information by e-mail, the purpose of the data processing is to send you information about veterinary services and/or reminders about appointments, such as vaccinations or dewormings.
Your personal data will only be passed on to other third parties if we are legally obliged to do so, in order to assert legal claims, to investigate criminal offences that may have been committed or if you expressly consent to your personal data being passed on.
2. Right of withdrawal of consent
You may revoke any consent expressly given to us at any time with effect for the future. The legality of the processing carried out on the basis of the consent until the revocation is not affected by the revocation.
3. Storage and deletion periods for personal data
If the purpose of processing your personal data no longer applies (complete processing of the treatment contract), your personal data processed by us will be deleted or initially blocked in accordance with the following regulations.
If individual data must be retained for verification purposes and/or due to legal retention periods, the deletion shall be replaced by the blocking of the data. The data to be retained may then be processed exclusively for the aforementioned purposes.
Retention requirements under tax law stipulate a retention period of 10 years for invoice data and 6 years for other documents that are important for taxation. The retention periods start to run at the end of the calendar year in which the invoice was created or the other data was received.
Provided that you have consented to the processing of your personal data for an unlimited period of time, we process your personal data for the purposes specified in the consent for an unlimited period of time. If you cancel your consent, your personal data will be deleted or blocked in accordance with the above-mentioned regulations.The legitimacy of the processing based on the consent until the revocation is not affected by the revocation
4. Your Rights as a affected person of the data processing
In addition to your right to withdraw consent, you have the rights following rights at any time:
• Right to information according to Article 15
• Right of rectification according to Article 16
• Right to deletion according to Article 17
• Right to restriction of processing according to Article 18
• Right of data portability according to Article 20
• Right to object to data processing which is based on a balance of interests according to Article 21
Please send us your request to our contact addresses.
5. Complaints about data protection violations to the data protection supervisory authorities
If you believe that your data protection rights are being violated, you can contact the data protection supervisory authority in your state.If a complaint concerns a company that has its registered office in another federal state, the supervisory authority shall forward the complaint to the supervisory authority responsible there.
6. Automated decision making including profiling
Automatic decision making including profiling pursuant to Article 22(1) and (4) does not take place.
Treatment contract
I confirm that I am the owner of the animal and therefore authorized to conclude a contract for the required treatments and operations. I further confirm that I am willing and able to bear the costs incurred. In this regard, 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 of 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 expenses.
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 assure that I am authorized to do so. I confirm that I am aware that I will be required to pay the treatment costs incurred in cash, by EC card or by credit card after my pet has been examined. Subsequent treatments are also subject to this contract.
If an appointment is repeatedly not canceled at least 24 hours in advance, we may charge a cancellation fee of 30.00 EUR. The time slot is only blocked for your pet and we do not double book appointments, which saves you waiting time. However, we cannot compensate for any cancellations. We ask for your understanding and cooperation.
By signing this form, 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:
Please note that your booking is final and the time slot is reserved for you and your pet only. We kindly ask you to note that no extensive diagnostics or further treatment can be carried out in a 15-minute time slot. If necessary, we will be happy to arrange a follow-up appointment with you on site.
Please note that this appointment can only be requested and not booked. We will contact you immediately regarding your appointment request.