Fuggerstr. 35, 10777 Berlin-Schöneberg By appointment
Downloads & forms – Dentalpraxis Berlin

Downloads & forms

Forms to fill in and useful links. Save time when you arrive.

Downloads

Forms (German)

  • Medical history formFill it in calmly at home beforehand and save time. Download PDF
  • Information sheet on extractionInformation and consent for surgical tooth removal. Download PDF
  • Information sheet on implant placementInformation about the placement of an implant. Download PDF
  • Consent form for whiteningFor tooth whitening with Philips ZOOM. Download PDF
  • Advice on tooth whiteningCare advice after whitening with Philips ZOOM. Download PDF
  • Instalment agreementAgreement on paying for your treatment in instalments. Download PDF
Other languages

Documents in other languages

  • Informed Consent: Tooth Extraction (EN)Informed consent for surgical tooth removal. Download PDF
  • Instalment agreement (EN)Agreement for payment in instalments. Download PDF
  • Instalment agreement (TR)Agreement for payment in instalments, in Turkish. Download PDF
  • Instalment agreement (AR)Agreement for payment in instalments, in Arabic. Download PDF
Links

Payment in instalments with DZR

No one should have to cut back on their dental health. Through the Deutsches Zahnärztliches Rechenzentrum (DZR), a dental billing service, you can pay your dental bill in instalments. You set the term and the size of the instalments yourself.

Book your appointment

Book online through Doctolib or give us a call. We are happy to advise you.