Inquiry form

At the first visit at our reception we wish that our patients answer an inquiry form with some questions which helps us to give the best treatment without our patients having to spend a long time in the waiting room.

The inquiry form also has the function as a form for referral.

The inquiry form is handed out to fill in while waiting in the waiting room at the reception.

The inquiry form can also be answered at  home if you have opportunity to print it out and answer it before your visit. If you do, don't forget to bring it with you. 

There is no need to print it out in color.

The time of last urination can be filled in at the reception.

Inquiry form.pdf

Senast uppdaterad: 2017-10-18 12:32