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Hotline Knee Arthritis

Hiparthritis-Hotline

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Consulting & Appointment

Hiparthritis-Hotline

Your Hotline for Hiparthritis.

You can reach our hip specialists in a direct way by filling out the form. The form is also available in PDF format that can fill out and faxed to us. Fax number 00 49 89 20 4000 162.

Our specilist will answer you with in 72 hours work days.

Online-Form

Please fill out the following form as precisely as possible, for us to help you effectively.
Your name:
Your address:
Your day time telephone number:
Your fax number:
Your email address:
1. Which hip troubles you?	right left both
2. Which problem concerns you most?	pain loss of movement
3. When do you feel the strongest pain?	under physical exertion depends on position at nights at rest
4. Are you noticing a limp in your walk?	No sometimes unable to walk
5. Have you been operated at the hip before?	Yes No
5a. When and why?

6. Are you using crutches or similar auxiliary?	Yes No sometimes
7. Did you suffer any hip malalignment during childhood? (hip dysplasia etc)?	Yes No
8. When would you like to have an examination with our hip specialist??

9. Under what insurance are you covered?	Basic Health Insurance Private
Comments:
W Prof. Dr Juergen Toft thanks you for the trust that you have placed in our institution and our doctors. Alpha-Klinik Knee-Team