Downloads for Patients

Save time for your first visit and prepare your paperwork now

Documents for your first vist

Before we can provide care, there is some information we need from you. 
1

Download Patient Registration Package

Our registration documents include 5 pages in total:
Patient information
This includes basic details about you and your contact info.
Clinic Policies
Details on copay, coinsurance and missed appointments.
Medical History
For example allergies or current medication.
HIPAA Privacy Policy
Allowing us to save and process your data for work.
Billing Authorization
Permitting our billing department to prepare receipts and invoices.
download
2

Select your Insurance

Depending on which insurance you have, you need to fill out a different health insurance claim form. We’ve listed all insurance documents below. All you need to do is click on your insurance to open up the correct document.
¹This insurance requires a guarantee of payment or an authorization form. Please request one from your healthcare service provider.
²For Private German patients, please contact support  hereto inquire about your insurance.
3

Fill out the documents and mail them to us

Mail the paperwork to us via mail to support@mvz-physiorehab.com or bring them to your first appointment.

Can’t find what you’re looking for?

contact support

Contact

Opening hours

Monday - Thursday: 08:00 AM – 07:00 PM

Friday: 08:00 AM – 02:00 PM

Saturday: 08:00 AM – 02:00 PM
(appointment only)

Sunday: closed

Address

Kindsbacher Str. 39D, 66877 Ramstein

MVZ INTERNATIONAL REHAB WESTPFALZ GMBH
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