Contact

Contact details:

Dr. med. Torsten Krug
Rathenauplatz 2–8
60313 Frankfurt

Telefon +49 69 709074
Fax +49 69 7078436

mail@dr-krug-privatpraxis.de
www.dr-krug-privatpraxis.de

Map:

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Prescription Request:

Note:
These requests are confidential and governed by various privacy laws and regulations. For this reason, we are only able to offer the service of sending prescriptions by mail or fax to our regular patients. Thank you for your understanding.

Please fill in all the boxes marked in bold letters.

First and last name(s):

Street:

ZIP code/city:

E-Mail:

Fax:

Medication #1:

Medication 2:

Medication 3:

Medication 4:

Medication 5:

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Remarks:

Post Fax

Appointment Request:

Note:
The requested appointment will not be final unless confirmed by us by phone.

Please fill in all the boxes marked in bold letters.

First and last name(s):

Phone:

E-Mail:

Preferred date and time:

Remark:

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