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Medical history form to download

Here you will find our medical history form. You can print it out and fill it in calmly at home before your visit to the practice – this saves time in the waiting room and you can look everything up in peace.

Please bring the completed form to your first appointment. If anything is unclear, simply leave it blank – we will go through it together.

Download medical history form for children (PDF)

Frequently Asked Questions

Where do I find the medical history form to print out?
You will find the medical history form for children on this page as a PDF to download. You can print it out and fill it in at your leisure at home.
Do I have to fill in the form before the appointment?
You do not have to, but it saves time in the waiting room. At home you can look up in peace which medicines your child takes or which pre-existing conditions there are.
What do I do if I do not understand a question in the form?
Simply leave it blank. We go through the form together with you at the appointment and clarify any open points.
Can I also fill in the form at the practice?
Yes, that is possible too. In that case please come a few minutes earlier, so that there is enough time before the treatment.