ONLINE FORM OR PDF

Patient registration

To register patients at the Hirslanden Heart Clinic, you can fill out our online registration form or print out the attached PDF, fill it out and send it to us.

ONLINE FORM OR PDF

Patient registration

To register a patient at the Hirslanden Heart Clinic, you can fill out our online registration form or print out the attached PDF, fill it out and send it to us.

Requested individual examination

Desired outpatient consultation hours

Information about the patient

Details of the referring doctor