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Initial Registration

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Contact details of the parent or legal guardian

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Additional message to the practice

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Please note: This registration is for private treatment. Patients with statutory health insurance must pay the treatment costs themselves.
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Please note: If parents are separated, we require the consent of both parents.
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Dear patients and families,

Thank you very much for placing your trust in the NOVA Centre.

You will shortly receive a confirmation email. Please read it carefully.

If you have any questions, our Online Reception is available to help.

Kind regards
The NOVA Team
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Online Reception

Nova Zentrum
How can we help you?
Request an appointment
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Initial Registration
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Medical certificates
Nova Zentrum
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Did the last appointment take place within the past year?

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If treatment has been paused for one year or longer, please complete

our Initial Registration form again. Thank you.

The NOVA Team

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Who is the appointment for?

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Your details

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Thank you for your request. We have received it and will respond as soon as possible.

The NOVA Team.
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Please note: Cancellation fees

Please attend agreed appointments reliably. If you need to cancel or reschedule, please notify us at least 24 hours before the appointment. For cancellations made less than 24 hours in advance or non-attendance, a cancellation fee may be charged.
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Who is the appointment for?

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Which appointment is this about?

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Would you like to:

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We will do our best to offer a suitable appointment. Please note that availability may be limited depending on the type of appointment or the treating professional. Thank you for your understanding.
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Please briefly state the reason for rescheduling:

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Please briefly state the reason for cancellation:

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Your details

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Thank you for your request. We have received it and will respond as soon as possible.

The NOVA Team.
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How can we help you?

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Your details

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Thank you for your request. We have received it and will respond as soon as possible.

The NOVA Team.
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Which certificate do you require?

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What type of certificate do you require?

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What do you need the certificate for?

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Please enter the travel dates:

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Please enter the destination country:

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Who is the certificate for?
(First name, date of birth)

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Please note: Certificates are a self-pay service

and will be invoiced to you.

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How would you like to receive the certificate?

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Your details

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Certificates are a self-pay service and will be invoiced to you.
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Thank you for your request. We have received it and will respond as soon as possible.

The NOVA Team.
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