Date *
Time * -- Please select a time --08:0008:3009:0009:3010:0010:3011:0011:3012:0012:3013:0013:3014:0014:3015:0015:3016:0016:3017:0017:3018:00
First name *
Surname *
Street address*
ZIP code / City*
Email *
Phone *
Do you have any comments?
I have understood the information and agree * We will try to accommodate your preferred date, but will send you a confirmation by SMS or e-mail in any case. Consultation times/consultations are bindingly reserved for you when you book and cost CHF 250. We ask you to inform us by telephone of any cancellations or rebookings at least 48 hours before your appointment. If you do not comply with this requirement, we will have to charge you the amount of CHF 250. If a treatment is subsequently carried out by us, we will offset the consultation fee against the surgery costs.