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Schmerzzentrum am Kunstmuseum Basel AG
Dufourstrasse 11
4052 Basel
Tel: +41 61 315 91 00
Fax: +41 61 315 91 10
For medical doctors
Registration for the pain therapy
This form is addressed to the attending primary care physician.
With this pain therapy form, primary care physicians register their patients at the Pain Center Schmerzzentrum am Kunstmuseum Basel for the desired treatment and issue a referral.
The treating general practitioner can download this form, fill it in and return it to the Schmerzzentrum via schmerzzentrum.kunstmuseum@hin.ch.
The Pain Center Schmerzzentrum am Kunstmuseum Basel bills via the basic insurance, the so-called TARMED.
Fillable form:
Form can be edited on the desktop/computer and returned to schmerzzentrum.kunstmuseum@hin.ch
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