deutschenglishfrancaisnederlandsitalianoespanolrussischarabisch
Alpha Klinik Homepage
Shoulder  Hip  Overview   Philosophy   Guided Tour   Confidence is our success   News   Contact 
Meniscus
Arthritis
Kneecap
Cruciate Ligament
Cartilage transplant
Book
Study & Cases
Prof. Dr. Toft
Dr. Rolf Krebs
Dr. Zimmerer
Dr. Salgo
Dr. Erhorn
Dr. Gramlich
Overview
Rehabilitation
Specifics
Acupuncture
Hotline Knee Arthritis
Hiparthritis-Hotline
Shoulder-Hotline
Consulting & Appointment
Contact
FAQ
Insurance & Law
Alpha Links
Shoulder-Hotline
Formular als PDF herunterladen

Your Hotline for the Shoulder.

You can reach our shoulder 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 shoulder troubles you? right
left
both
2. Which problem concerns you most? pain
loss of strength
instabililty
loss of movement
3. Does the pain radiate? to the side
to the front
to the shoulder bladder
to the arm
to the neck

4. When do you feel the strongest pain?

under physical exertion
depends on position
at night
at rest
5. Have you been operated at the shoulder before? Yes
No
When und why?
6. Did you injure your shoulder before? (as a child, during a ski accident etc)
7. What kind of sports would you be like to be able to perform?
8. When would you like to have an examination with our shoulder 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


© 2001-2008 Alpha-Klinik GmbH.    Imprint