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WaldHotel Health Profile

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WaldHotel Health Profile ( waldhotel-health-profile )

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Leading you to better health YOUR HEALTH PROFILE 8 / 8 Therapy requests: Requested additional specialist consultations / examinations in the following special fields: Urology Gynaecology Dermatology Psychology / Coaching Cardiology Ear nose and throat medicine Dental medicine Orthopaedics Other: Should you require a medical expert or medical examinations including tests or treatments in another hospital or a specialized institution (e.g. colonoscopy, CT scan or MRI, coronary angiography, etc.), then these institutions are liable for the medical consultation, tests and treatments. The institutions and their personnel act independently and not on behalf of the Bürgenstock Hotels AG. Therefore the contractual relationship is between you and the institution and/or medical practitioner not the Bürgenstock Hotels AG. We remain free from any liability. We thank you for your time and look forward to meeting with you in person to discuss your issues and concerns. Location, Date Guest Signature 6363 Obbürgen – Switzerland T +41 (0) 41 612 66 00 F +41 (0) 41 612 66 11 medical@buergenstock.ch www.buergenstock-waldhotel.ch

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