Initial registration form
VET emergency
Initial registration form
Cologne VET emergency

Schmerztherapeutische Kleintierpraxis Kai Wilms

Gotenring 57, 50679 Köln

Telephone

+49 221 222 333 77

Mobile

+49 173 387 40 77

E-Mail

mail@kleintierpraxiswilms.de

Opening hours Monday to Friday

9:00 –1:00 pm and 2:00 – 6:00 pm

Registration form for new customers

With our new customer form you can easily and conveniently submit your customer and patient data to us. Please make an appointment before you fill out the new customer form and send it to us.

We are an office operating based of off appointment

Schedule Appointment

Telephone

+49 221 222 333 77

Initial registration form

Die mit * markierten Felder sind Pflichtangaben

Your agreed appointment
Your customer data
Patient data
Consent form

The service agreement is only contractualy binding starting with the first appointment on site in our office. Nevertheless, we kindly ask you to cancel your appointment with enough leadtime incase you cannot make it.