Online Appointment Here you may send us a booking request. Our Privacy Protection Policy you find here. New patient? New patient? * Yes No Reason for appointment Reason for appointment * Eye check Prevention / Control Child Exam Retina / Glaucoma Macula Exam Lid Surgery Contact Lens Ocular Diabetes Medical report (Gutachten) Vision exam for driver's license Suggested date and time Date * Day Day12345678910111213141516171819202122232425262728293031 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Year Year20232024 An welchem Tag hätten Sie gerne einen Termin? Time * 08:00 - 10:00 hrs 10:00 - 12:00 hrs 12:00 - 16:00 hrs 16:00 - 19:00 hrs flexible Personal data Mr. / Ms. * Mr. / Ms.Ms.Mr. First Name * Last Name * E-mail * Phone * Insurance * InsuranceGesetzlichPrivat Your message Message Datenschutz * I have read the Declaration on Privacy Protection. I declare my consent that my data will be used for the handling of my request upon sending this contact form. (Further information and guidance on revocation you find in the Declaration on Privacy Protection.) Submit