Patient Intake Form
Download the intake form and bring it to your appointment
To help us prepare your appointment at MVZ VITALIS in Berlin-Buckow, we kindly ask you to fill in our patient intake form in advance.
Simply download the form, print it out and bring the completed form to your appointment. This allows us to record your details directly and shortens registration at the practice.
If you are unable to fill in the form in advance, you will of course also receive the intake form directly at our practice. Please note that the form is only available in German.