APPOINTMENT FOR SPEECH AND LANGUAGE THERAPY

Thank you for your interest in a treatment in one of our practices.

For a smooth process, we need some information before your first appointment. Please use the form below to transmit your data. We will get in touch with you promptly to make an appointment.

Please have the following documents ready for the first appointment:

  • valid prescription
  • medical report
  • insurance card
  • U-Heft (for kids)

Make an appointment


Location of Theralingua *

home visit? *

home visit physician-directed? *

preferred date *
before middayin the afternoonall day


patien's first and last name *

patients date of birth *

first and last name (main insurant / parent) *

street, number, post code, residence *

email address *

phone number (landline or mobile) *

Insurance *


medical diagnosis / clinical picture / finding / other information

upload of prescription (file format: jpg, png or pdf, maximum file size: 10 MB)) We are legally obliged to check the validity of medical prescriptions before starting the therapy. If you have a prescription, please scan it or take a picture and upload it here. Please bring the original prescription with you to your first appointment. Thank you very much!


Herewith I accept the data protection regulations Datenschutzbestimmungen (Your data will only be used for the purpose of processing your query. Your data will be transferred securely using SSL encryption.)

 

Theralingua treats both adults and children. We cover all clinical pictures (disorders). You can count on us for all matters of speech and language therapy. In each of our practices we have at least one therapist who can take care of you.

We currently offer 3,000 hours of treatment a month. We learn something new ourselves every day and aspire to improve ourselves every day.

Due to our high workload, there may be waiting times for an appointment with us. We apologize for this. If it happens that we put you on the waiting list, we will contact you as soon as possible to arrange an initial diagnosis and a first appointment with you.

Thank you for your trust

At this point we would like to thank our patients for their years of trust in our speech therapists, our company and our therapies.

See you soon in one of our practices,

Your team from Theralingua