Patient information and Service ordering Questionnaire Please use this form to provide the necessary information on the patient, the medical situation, the desired treatment and services. To send, just use the button below. We need this information to process your treatment order, know which services you want and present the request to the medical specialists. If you do not want to send by using internet transfer, you can also print out the page and send it by mail or fax, possibly with any available medical documents or images on discs. The postal address is: German Hospital Service, Destouchesstr. 1, 80803 München, Germany, Fax +49-416107059
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