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 Pain Center Schmerzzentrum am Kunstmuseum Basel bills via the basic insurance, the so-called TARMED.
Form can be edited on the desktop/computer and returned to firstname.lastname@example.org
Form can be printed and returned in e-mail to email@example.com