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
Visit reason*
GDPR consent
For the proper treatment of your animals and for billing purposes, the storage of certain personal data is necessary. We therefore ask for your consent as outlined below.
As the animal 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 contact information (e.g., phone number, email address),
data related to the treatment of my animals, as well as details of curative treatments and medications administered.
I consent to my data being shared, where necessary, with:
external laboratories, external service providers required for billing purposes (e.g., billing agencies), pet registries (e.g., TASSO), other veterinary practices in the event of a referral, and external service providers for communication purposes with the practice.
Beyond this, data will only be shared with third parties within the limits of the law, and generally only with my renewed consent.
I also agree to:
be informed by the practice about upcoming vaccinations for my animals, and receive current updates and information from the practice.
I may request information about the scope of the stored data at any time.
I have been informed that this declaration is given voluntarily and can be revoked by me at any time. In such a case, any data already collected will be deleted.
Treatment contract
I confirm that I am the owner of the animal and therefore authorized to enter into a contract for the performance of necessary treatments and surgeries. I further confirm that I am willing and able to cover the resulting costs. In this context, I declare that I am not currently involved in any court-ordered debt proceedings. If I am not the owner of the animal, I confirm that I am acting with the express authorization of the animal's owner. Should such authorization be absent or disputed by the owner, I hereby agree to assume responsibility for all costs arising from the treatment.
To the extent that it is necessary for diagnostic purposes, I authorize you to commission third-party services (e.g., laboratory tests) in my name and at my expense.
I hereby confirm the accuracy of my statements and authorize you to examine and/or treat my animal, assuring you that I am entitled to do so. I acknowledge that following the examination of my animal, I am required to pay the treatment costs in cash, by debit card, or by credit card. Any follow-up treatments are also subject to this agreement.
By signing this document, I agree to the treatment contract and the data protection consent declaration as outlined, within the scope of its intended purpose.
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.