Registration

If you have decided on a health check-up , simply use our registration form or call our office at 02222-9323-21.

Registration form

Please first select the type of a health check-up. Then complete the registration form by filling in your contact data and the desired date. As soon as you have completely filled in the data, please click the “Registration” button.

Type of a health check-up

Complete

Basic

Fitness

Smoker

Heart & Vessels

Your contact data

Title*

Ms. Mr.

First name*

Second name*

Street*

Postal code* City*

Telephone*

Fax

Mobile phone

Email address*

Desired date

Date*

Comment

Message

You can best
contact me

by email	by post
by telephone	by fax

* This information is obligatory.

By post / By phone / By email

Address
Practice clinic for diagnostics and preventive medicine
Office
Servatiusweg 14
53332 Bornheim

Telephone
+49 2222 - 9323 - 21

Fax
+49 2222 - 9323 - 25

E-Mail
info@gesundheitscheck.de

Our staff will be pleased to assist you further. By request, you can also take non-binding advice from our doctors in advance.

You may also use our contact area.

Listed in the Leading Medicine Guide Germany 2009, 2010 & 2011

Billing

Health insurance reimbursement
If a health check-up is individually set up depending on the prior medical history, age and risk factors and only medically necessary examinations are performed, there are...
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