Request transfer:

As a patient in our practice, you have the option of ordering referrals using this online form.

Pre-condition a chip card read in the current quarter is required for this service.

If you need several transfers, use the form several times in a row.

After successful transmission, you can pick up your transfer after 2 working days in our practice.

By clicking on Request transfer, you agree to the transfer of your specified data GDPR agreed.