Online Inquiry - Orthopaedic Center Munich East

Salutation

First name

Last name

Street/ house number

Zip code / City

Birthday

E-Mail

Phone

Health insurance

Where do you have pain?:

Head

left

right

both

Cervical spine

left

right

both

Shoulders

left

right

both

Upper arm

left

rechts

both

Elbow

left

right

both

Forearm

left

right

both

Hand

left

right

both

Finger

left

right

both

Thoracic spine

left

right

both

Lumbar spine

left

right

both

Hip

left

right

both

Thigh

left

right

both

Knee

left

right

both

Lower leg

left

right

both

Foot

left

right

both

Upload radiology report::
Without submission of your radiology report via PDF or fax, your request can unfortunately only be answered inadequately.
Please note the keyword "online request" on the fax.

PDF Datei

Send fax to 089/45600890.

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Where do you have pain?
How long have you had pain?
What treatments have you had so far?

Your message

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Online request

Your online request at the Orthopaedic Center Munich East