Patient Forms

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Patient Forms

Here you will find some useful forms, which we would kindly ask you to fill in before you visit us.

On this page, you will also find information covering different topics to be downloaded.



  Medical History Questionnaire 128 kb

  Professional Teeth Cleaning 11 kb

 Bleaching-Patient Information 10kb

 Practice Flyer 152kb


If you can send your registration form before your appointment either by post or fax, we can take care of all the administrative work prior to your arrival. All forms are available in PDF format and can be completed directly on the computer and then faxed to us. Of course you can print the relevant form, fill it in and return it to us either by fax or post.

Praxis Dr. med.dent. Tilo Bartels
Theatinerstrasse 47
80333 Munich

Fax: +49 89 2103 1116

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  Praxis Dr. Tilo Bartels,  Theatinerstraße 47,  Betten Rid Haus am Marienhof,  Fon +49 89 - 2 99 99 1,  email: