contact form practice services contact opening hours If you want to cancel an appointment or need a follow-up recipe or want to give us feedback, please select your request below and enter your details in the appropriate form. Please leave this field empty. cancel an appointmentrepeat prescriptionsfeedback Please fill out the following fields to cancel an appointment: Please leave this field empty. Please enter the date and time of your appointment: Please fill out this form if you are already a patient with us and need a follow-up prescription: date of birth: Note: The processing time for subsequent recipes is usually one working day, i.e. if you order a prescription, you can collect it from us the next working day. Please write us a message if you want to give us feedback about our practice or our website: I agree that my details from the form to answer my request will be collected and processed. The data will be deleted after your request has been processed. Note: You can revoke your consent at any time for the future by sending an email to firstname.lastname@example.org. Detailed information on handling user data can be found in our Datenschutzerklärung. Please leave this field empty.