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Questionnaire

In order to valutate the chances and to determine whether or not a patient
might profit from LBT, we have developed a questionnaire, which interested
persons can fill in and send to us electronically. It is available in
English (> download) and German (>download).
The personal and medical data provided thus will allow Dr A. Wernig, MD to
judge the situation and the chances of a possible therapy.
Unless Dr. Wernig responds by e-mail, you are invited to call two weeks
after you sent us your questionnaire.

Questionmaire PDF - Format German

Questionmaire PDF - Format English

HTML-Form Deutsch

HTML-Form English