Patient registration

Address: Friedrichstrase 63, Berlin, Berlin, 10117, DE
Telephone: +49 (0) 30 / 84 52 48 88

As our patient you are the focus of our attention. Our goal is your optimal care and treatment. We work with modern diagnostic procedures and use the latest techniques and materials for your treatment.

We see ourselves as partners of your referring dentist, general practitioner or specialist. In order to ensure the best possible care for you, we therefore work closely with your referring physician as a matter of course. A detailed discussion of your concerns is an integral part of our work. We will explain the expected results and the costs incurred in detail. In our treatments, we attach great importance to careful pain treatment and the most modern therapeutic procedures.

Please bring the following documents with you to your first appointment in our practice

All previous findings and
treatment documents
Transfer form or referral letter
Your insurance card

Please use the following form to provide personal information, contact information, health information and information about your current oral and dental situation. Please send us the completed form before your first appointment. This will facilitate the preparatory work and create an important basis for further diagnosis and therapy.

Your data will be encrypted and transmitted securely via an SSL connection.

Personal data

Name*

First name

Surname

Birthday*

Place of birth*

Occupation*

Health insurance/private insurance*

Is an additional insurance available?*

Contact

Address*

Postal code (German)*

City*

Email address*

Phone (private)*

Phone (mobile)*

Health Issues

Do you have a thyroid over or under function?*

Do you have low blood pressure?*

Do you have any infections, e.g. Hepatitis, TBC, HIV?*

Do you have eye diseases, e.g. Glaucoma?*

Are you a smoker?*

Do you have asthma?*

Do you have a lung disease?*

Do you have any blood clotting disorders?*

Do you have diabetes?*

Do you have any allergies, e.g. to Penicillin?*

If yes, what are your allergies?*

Do you take any medication?*

If so, what medication?*

What brings you to our practice?

Have you been referred by a doctor/dentist?*

Would you like a consultation regarding a dental implant / bone reconstruction?*

Would you like a consultation regarding a plastic/aesthetic procedure?*

Would you like a consultation regarding a malocclusion (dysgnathia)?*

Would you like advice on the removal of a skin tumour?*

Would you like advice on Botox/Filler?*

Would you like a consultation regarding oral surgery (wisdom tooth, root tip resection)?*

Would you like advice on another treatment?*

Patient Information

Practice conditions: In the event that you cannot make use of a reserved treatment time, we therefore ask you to cancel in good time (i.e. two days in advance if possible). You are doing us and your fellow patients a big favour. If you fail to appear several times without prior cancellation, we can no longer give you fixed appointments for obvious reasons. Downtimes can be calculated according to § 615 BGB 287 ZPO. We hope that you feel comfortable in our practice and will be happy to answer any questions you may have.

Data processing: I agree that my data from the patient registration will be collected and processed as a basis for further diagnostics and therapy. Please note: You can revoke your consent at any time for the future by sending an e-mail to post@dr-heinrich.berlin . You will find detailed information on the handling of user data in our data protection declaration.

Consent to the practice conditions and the data processing*

I accept the practice conditions and agree with the data processing.

Here you can view our Privacy Policy.

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Would you like a personal consultation? Our practice team is at your disposal for a detailed discussion of your request.

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Dr. med. Sven Heinrich

Specialist for oral and maxillofacial surgery
plastic and aesthetic operations
– Focus of activities: implantology –

Address:
Friedrichstraße 63
(Entrance Mohrenstraße 17)
10117 Berlin

Opening hours

Mo. to Thu.:
08:00 – 18:00 o’clock
Friday by arrangement

Contact us
Phone: +49 (0) 30 / 84 52 48 88
Email: post@dr-heinrich.berlin
Appointment: arrange here

Make an appointment

+49 (0) 30 / 84 52 48 88

Contact request*

I would like a personal consultation

Please call me back

Treatment*

First name / Surname*

Email*

Phone*

Message*

Consent to the processing of data*

I agree that my data from the contact form are raised and processed in order to address my inquiry. The data will be deleted after my request has been processed. Please note: You can revoke your consent at any time for the future by sending an e-mail to post@dr-heinrich.berlin . You will find detailed information on the handling of user data in our data protection declaration.

You can view our privacy policy here.

Please repeat the characters*

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Patient registration

Please bring the following documents with you to your first appointment in our practice

Personal data

Contact

Health Issues

What brings you to our practice?

Patient Information

This might also be of interest to you

Dr. med. Sven Heinrich

Opening hours

Make an appointment

Dr. med. Sven Heinrich

Mouth | Jaw | Facial Surgery