Attestation

Do you need an attestation for your visit to our clinic due to Corona travel restrictions or because your child is visiting school? Or perhaps you need it for your employer? Then please fill out this form and we will send you an attestation by email.

First and surname (required)

E-Mail (required)

Street and number (required)

ZIP and town (required)

Country (required)

Appointment (required)

For submission to (required)

For your security, please enter this code.

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