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You don't speak German?

We would like to give you the best possible medical advice, so here you find consultation forms in different languages. Please fill out the form and bring it with you to the pharmacy – with that we can understand each other better, and help you right away.

Consultation Forms

Please find below our currently available consultation forms for your convenience. We are actively working on extending the forms available.

Consultation Form (Ukraine)

Consultation Form in ukrainian language. Please fill this out properly and bring the form with you to the pharmacy.

Download
Consultation Form (Russian)

Consultation Form in russian language. Please fill this out properly and bring the form with you to the pharmacy.

Download
Consultation Form (Arabic)

Consultation Form in arabic language. Please fill this out properly and bring the form with you to the pharmacy.

Download