Prescription request

Prescription requests for outpatients of the Clinical Department of Pneumology and Infectious Diseases

Prescription request

Prescription requests for outpatients of the Clinical Department of Pneumology and Infectious Diseases

Prescription request

Prescription requests for outpatients of the Clinical Department of Pneumology and Infectious Diseases

Approach to the MHH

Prescription requests

For prescription requests, please complete all fields in the form below.

Please note:

We can only issue you a prescription if you are not currently in rehabilitation or hospitalized. We also need a referral from the current quarter. If we do not have this, please send it to us by e-mail(pneumologie.ambulanz@mh-hannover.de) or by fax to 0511-532-161108. Alternatively, you can also send it by post.

Hannover Medical School

Pneumological outpatient clinic - OE 6870

Carl-Neuberg-Straße 1

30625 Hanover

ePrescription of gematik GmbH

Information on the ePrescription

The Clinical Department of Pneumology and Infectious Diseases at Hannover Medical School (MHH) is now using the electronic prescription (e-prescription). You can find more information in the following document.

Prescription request for the Clinical Department of Pneumology

last name: *

First name: *

Date of birth: *

Gender: *

E-mail address: *

My phone number: *

Insurance status: *

I am a patient in the outpatient clinic/area: *

My address:

Request text: *

Referral - Please upload a copy of your current valid referral from your GP or specialist. Please upload as PDF. (max. 20 MB; alternatively: image files are possible below):

Choose …

I have taken note of the information obligations (* see text below the form), which inform me in full about the use of the data provided via the contact form. *

I hereby confirm that I am neither undergoing inpatient treatment nor rehabilitation. *

Information obligations and Data Protection

I have taken note of the following information obligations, which fully inform me about the use of the data provided via the contact form: My personal data will be stored and processed on the server of the MHH data center in accordance with data protection regulations, in particular the GDPR. Employees of the Clinical Department of Pneumology and Infectiology at MHH have access to the data.

Purpose of data collection
My data will be used to contact me or to connect me to a specialist treatment at our Clinical Department.

Passing on the data
My personal data will not be passed on and is only accessible to those authorized to access it, i.e. the employees of the Clinical Department of Pneumology and Infectiology of the MHH, who need this data to fulfill contractual and legal obligations or to implement the legitimate interest of the MHH.

Storage
My data will be stored after collection by the MHH Clinical Department of Pneumology and Infectiology for as long as necessary to fulfill the purpose (contact, connection to the Clinical Department).

Revocation
I can unsubscribe from the connection to our Clinical Department at any time by sending an e-mail to pneumologie.ambulanz@mh-hannover.de. In the event of a revocation, my data that I have provided via the contact form will be deleted.

Legal
In the data protection declaration linked under the form, I have taken note of the rights regarding the personal data concerning me in accordance with the GDPR.

Data Protection

Please read the data protection information carefully and inform yourself about how your data is handled and about your legal rights.

Further contact information

Outpatient clinics

All contact information and contact persons for our outpatient clinics can be found on the following page

Outpatient clinics

Stations

All contact information and contact persons for our wards can be found on the following page

Stations

Directions

Here you can find more information on how to get to Hannover Medical School

Directions