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Request a prescription or referral

General Medicine | Internal Medicine

important information

You can use this form to reorder your already prescribed prescriptions at any time

or request a transfer.

 

Attention: New prescriptions cannot be ordered using the form. Prescription requires medical contact. For certain transfers, contact with a doctor is also necessary beforehand.

In this case, please make an appointment first.

The insurance card must have already been scanned in the current quarter or must be presented when picking up.

The ordered prescriptions/transfers can be picked up at the health center on the next working day.

General Information

Contact options

Please provide at least one contact option so that we can reach you if we have any further questions.

What would you like to request?

Vielen Dank!

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