Salutation: please select Mrs. Mr. Your title: First name: Last name: * Date of birth: * e-mail address: * Telephone number: * Is this your first visit?: please select Yes No Please briefly describe your

ofGeneral Medicine and Palliative Medicine Phone: +49 511 532-2744 Allgemeinmedizin @ mh-hannover.de Address Hannover Medical School Institute ofGeneral Medicine and Palliative Medicine Carl-Neuberg-Strasse

MPH Secretary: PD Dr. phil. Franziska Herbst Contact: E-mail: allgemeinmedizin @ mh-hannover.de Address: Association for the Promotion of the Institute ofGeneral Medicine and Palliative Medicine of the

treatment Contact form acute outpatient clinic Last name: * First name: * Date of birth: e-mail address: * Callback number: * Your request: * Prescription request Appointment request Request for findings

http://www.advantageja.eu ADVANTAGE - Contact at the Hannover site Contact person: Birgitt Wiese Address: Hannover Medical School Institute ofGeneral Medicine and Palliative Medicine Carl-Neuberg-Strasse

treatment site. You can request all X-ray images taken at the clinic for further use by stating your address and the date of treatment at RoentgenZMK @ mh-hannover.de . " back to the clinic page

Registration via Sekretariat Ultraschall-Pränatalmedizin: Mo - Do 8 -15.30, Fr 8 -14 Uhr 0511/532-9581 Address: Medizinische Hochschule Hannover Klinik für Frauenheilkunde und Geburtshilfe Pränatalmedizin (MVZ)

first name of the reporting person: Street, house number: Zip code: Place: Telephone number: Email address: I am a: Please select patient Relative a visitor Caregiver Referrer Nature of your request: General

Please send your application to the head psychotherapist Sarina Höpfner via the following e-mail address: Psychiatrie.psychologie-praktikum @ mh-hannover.de Please enclose the following documents: Cover