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Mrs Claudia Ponert, International Case Manager

S'il vous plaît nous contacter en remplissant le formulaire ci-dessous.

Toutes les demandes des patients sont soumis à la confidentialité.

Lorsque nous recevrons votre message, un gestionnaire de cas vous sera attribué.

En plus de gérer tous les détails de votre demande médicale et de votre traitement, votre gestionnaire de cas sera également disponible pour prendre en charge votre organisation de voyage et processus de visa.

Votre demande sera traitée dans un délai d'un jour ouvrable.

Merci beaucoup de votre intérêt.

Claudia Ponert

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We will call our international clients back within 24 h during working days in order to confirm and verify your inquiry.

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Click here if you already want to submit medical details to our specialists

Use our medical questionnaire in order to initiate our dialogue

In this section we ask some general questions about your illness. These answers will help our experts to understand your inquiry better. After submitting this form you will be redirectd to an upload form for files and medical images. You may leave this section empty and proceed to the "Submit" button below.

Since when do you have your condition?

Please describe the beginning of you condition. How many weeks, months or years do you suffer already?

Please submit your orthopaedic diagnosis, if possible

Please give us the clinical term(s) of your medical conditions

What caused your condition?

Is your condition work related, sports related, accident related, or age related?

Are you in pain? What situation triggers the pain?

Please describe your pain. Did the pain become worse quickly? Is it worse when you are walking? Do you feel pain while resting? Do you need pain medication? What gives you relieve (e.g. bending forward, sitting, lying down)

Concerne en particulier les douleurs dorsales

Avez-vous des engourdissements, des troubles sensitifs (paresthésies), des paralysies, une perte de la coordination, une faiblesse ou picotements dans la nuque, dans le dos, les bras, les jambes, les chevilles ou les pieds ?

How is your health? Do you have underlying conditions?

Here you can tell us about your health. Do you have underlying conditions such as osteoporosis, diabetes, obesity, high blood pressure, neurological conditions? Do you practise a particular sport? Do you have specific work related strains? Did you suffer a trauma in the past, such as an accident?

Upload a file

Cliquez ici pour visiter notre service de transfert de fichiers

Legal Disclaimer

Personal data provided will not be disclosed to third parties. Your information will be stored and used only for the fulfillment of the stated purpose of contact and in order to respond to your enquiry. Your data is subject to medical confidentiality. The transmission of data to the medical staff is via e-mail. This is subject to normal e-mail distribution risks and the risk of data corruption. The identity of the sender can not be verified by us. Communication via this form is therefore not legally binding for either party. This service is provided by us in order to facilitate and prepare for medical investigation and medical treatment. The service does not constitute or replace a face to face medical check up, or treatment by a qualified physician. Any electronic communication by us resulting from this data, is to be treated as general information. In order to act upon this information, please consult your local physician, until such a time that you have been examined by the medical team at the Gelenk Klinik.

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