Forms for your examination
If you fill out and sign the documents in advance and bring them to the examination, you and us will save time when registering in doctor’s office.
Of course there are printed copies available in doctor’s office, too.
You need this form if you would like to commission another person to collect your personal documents and / or pictures from us.
|Download||Authorization for Release of Medical Records|
You need this form if you want us to send your documents / pictures or other data to other doctors or hospitals.
|Download||Magnetic resonance imaging (MRI) questionnaire|
|Download||Computed tomography (CT) questionnaire|
|Download||Mammography (X-Ray of the breast)|