
	ORTHOPÄDIE BAVARIAPARK Ganghoferstrasse 31 80339 München Phone: +49(0)89-540 319 0 Fax: +49(0)89-540 319 29

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Accident



Please fill out the form below and we will respond promptly to cater your needs

When did the accident occur?
What part/s of the body have been hurt?
What has exactly happened during the accident (e.g. twisting of the knee or falling on extended arm)?
Did the pain occur immediately after the accident or somewhat later?
Have X-rays/MRIs been taken?
Have you been diagnosed?
Has a surgical procedure been recommended?
Are you able to visit our doctors at ORTHOPÄDIE BAVARIAPARK in Munich?
Name*
Street address
Postal code and city
Email*
Telephone
Fax
Note

	*mandatory


	H. Boethig, MD Dirk K.-D. Nowak MD B. Preiß, MD M. Kolb, MD