Referring physicians - Berner Neurologie Praxis

For referring physicians

We take care of prompt appointment scheduling and usually carry out the necessary neurological examinations on an outpatient basis and within a few days. For a referral, call us, send an email, use the online form or the PDF. Data transmission is encrypted and secure.

Documents

Please send us relevant documents (reports, findings, medication, imaging, etc.) separately by email, fax or post, unless the patient brings them along in person.

REFERRING PHYSICIAN

Practice *

Telephone *

Email *

PATIENT DETAILS

First name *

Surname *

Street, no. *

Date of birth (DD.MM.YYYY) *

Postcode *

Town *

Telephone/mobile *

Email *

Health insurance

Insurance no.

Patient notificationin writingby telephone

urgent

ENCLOSURES / REPORTS / IMAGING*

Upload file

(e.g. lab results, report, image, etc.)

REASON FOR REFERRAL

Clinical question

Consent to the privacy policy*

I agree that Berner Neurologie may store this information for further correspondence. You can find the detailed provisions in our privacy policy.

Prompt appointment scheduling

Call us on +41 31 310 48 58