Medical Referral

Please note that as …

of January 01, 2024, the processes have changed with the introduction of the E-prescription.
You can still conveniently request a prescription through our website.
ATTENTION: Prescriptions can only be issued if you have previously had your chip card scanned at our practice within the respective quarter. After ordering, the E-prescription will be made available within two working days and can then be used in all pharmacies with the help of your chip card.

Prescription Ordering

I am a patient at:
Dr. med. Hanns IblherDr. med. Johanna DinkelakerDr. med. Hauke Bruns

I need prescriptions for the following long-term medications:

Personal Information:

Mrs.Mr.Diverse

I agree that my details from the contact form will be collected and processed to answer my inquiry. The data will be deleted after the processing of your request is completed. Note: You can revoke your consent at any time for the future by email tomail@hi26.de revoke. You can find detailed information on how we handle user data in our privacy policy.

Please note that we …

Please note that through this process, we can only issue referrals to other medical disciplines for which an indication has been provided by us or is available.

If in doubt, you will need to schedule an appointment with the doctor. You can collect the referral at the reception on the day after tomorrow.

Order Referral:

I am a patient at:
Dr. med. Hanns IblherDr. med. Johanna DinkelakerDr. med. Hauke Bruns

Ich benötige:

Persönliche Angaben:

Mrs.Mr.Diverse

Last Name"]

I agree that my details from the contact form will be collected and processed to answer my inquiry. The data will be deleted after the processing of your request is completed. Note: You can revoke your consent at any time for the future by email tomail@hi26.de revoke. You can find detailed information on how we handle user data in our privacy policy.

Please note that we …

Please note that through this process, we can only issue referrals to other medical disciplines for which an indication has been provided by us or is available.

If in doubt, you will need to schedule an appointment with the doctor. You can collect the referral at the reception on the day after tomorrow.

Order Referral:

I am a patient at:
Dr. med. Hanns IblherDr. med. Johanna DinkelakerDr. med. Hauke Bruns

Ich benötige:

Persönliche Angaben:

Mrs.Mr.Diverse

Last Name"]

I agree that my details from the contact form will be collected and processed to answer my inquiry. The data will be deleted after the processing of your request is completed. Note: You can revoke your consent at any time for the future by email tomail@hi26.de revoke. You can find detailed information on how we handle user data in our privacy policy.

Contact Form

Mrs.Mr.Diverse

I agree that my details from the contact form will be collected and processed to answer my inquiry. The data will be deleted after the processing of your request is completed. Note: You can revoke your consent at any time for the future by email tomail@hi26.de revoke. You can find detailed information on how we handle user data in our privacy policy.

Please note that we …

Please note that through this process, we can only issue referrals to other medical disciplines for which an indication has been provided by us or is available.

If in doubt, you will need to schedule an appointment with the doctor. You can collect the referral at the reception on the day after tomorrow.

Order Referral:

I am a patient at:
Dr. med. Hanns IblherDr. med. Johanna DinkelakerDr. med. Hauke Bruns

Ich benötige:

Persönliche Angaben:

Mrs.Mr.Diverse

Last Name"]

I agree that my details from the contact form will be collected and processed to answer my inquiry. The data will be deleted after the processing of your request is completed. Note: You can revoke your consent at any time for the future by email tomail@hi26.de revoke. You can find detailed information on how we handle user data in our privacy policy.