{"id":13504,"date":"2026-09-03T13:28:17","date_gmt":"2026-09-03T12:28:17","guid":{"rendered":"https:\/\/mvz-kreuzberg.de\/?page_id=13504"},"modified":"2026-09-03T13:28:45","modified_gmt":"2026-09-03T12:28:45","slug":"formulare","status":"publish","type":"page","link":"https:\/\/mvz-kreuzberg.de\/en\/formulare","title":{"rendered":"Formulare"},"content":{"rendered":"<p><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1216.8px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:109px;width:100%;\"><\/div><div class=\"fusion-text fusion-text-1\"><h2>Liebe Patientin, lieber Patient,<\/h2>\n<p>Hier k\u00f6nnen Sie verschiedene Anliegen bequem und unkompliziert digital erledigen. W\u00e4hlen Sie einfach das passende Formular aus, f\u00fcllen Sie es online aus und senden Sie es direkt an unsere Praxis.<\/p>\n<\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:10px;margin-bottom:10px;width:100%;\"><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1216.8px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_1_2 1_2 fusion-flex-column fusion-flex-align-self-stretch\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:3.84%;--awb-width-medium:50%;--awb-order-medium:0;--awb-spacing-right-medium:3.84%;--awb-spacing-left-medium:3.84%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\" data-scroll-devices=\"small-visibility,medium-visibility,large-visibility\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div style=\"text-align:center;\"><a class=\"fusion-button button-flat button-xlarge button-custom fusion-button-default button-1 fusion-button-span-yes fusion-button-span-default-medium\" style=\"--button_accent_color:var(--awb-custom17);--button_border_color:var(--awb-custom17);--button_accent_hover_color:#007395;--button_border_hover_color:#007395;--button_border_width-top:1px;--button_border_width-right:1px;--button_border_width-bottom:1px;--button_border_width-left:1px;--button-border-radius-top-left:4px;--button-border-radius-top-right:4px;--button-border-radius-bottom-right:4px;--button-border-radius-bottom-left:4px;--button_gradient_top_color:var(--awb-color1);--button_gradient_bottom_color:var(--awb-color1);--button_gradient_top_color_hover:#ffffff;--button_gradient_bottom_color_hover:#ffffff;--button_text_transform:none;\" target=\"_blank\" rel=\"noopener noreferrer\" href=\"https:\/\/patientenpfad.teamwork.contact\/formular\/mvz-kreuzberg\/vollmacht\"><span class=\"fusion-button-text awb-button__text awb-button__text--default\">Vollmacht<\/span><\/a><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_1_2 1_2 fusion-flex-column fusion-flex-align-self-stretch\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:3.84%;--awb-width-medium:50%;--awb-order-medium:0;--awb-spacing-right-medium:3.84%;--awb-spacing-left-medium:3.84%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\" data-scroll-devices=\"small-visibility,medium-visibility,large-visibility\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-2\"><p class=\"isSelectedEnd\"><strong>Vollmacht zur Abholung von Unterlagen<\/strong><\/p>\n<p>Mit diesem Formular k\u00f6nnen Sie eine Person bevollm\u00e4chtigen, in Ihrem Namen Rezepte, \u00dcberweisungen oder andere f\u00fcr Sie bereitgestellte Unterlagen in unserer Praxis abzuholen.<\/p>\n<\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-3 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1216.8px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-3 fusion_builder_column_1_2 1_2 fusion-flex-column fusion-flex-align-self-stretch\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:3.84%;--awb-width-medium:50%;--awb-order-medium:0;--awb-spacing-right-medium:3.84%;--awb-spacing-left-medium:3.84%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\" data-scroll-devices=\"small-visibility,medium-visibility,large-visibility\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div style=\"text-align:center;\"><a class=\"fusion-button button-flat button-xlarge button-custom fusion-button-default button-2 fusion-button-span-yes fusion-button-span-default-medium\" style=\"--button_accent_color:var(--awb-custom17);--button_border_color:var(--awb-custom17);--button_accent_hover_color:#007395;--button_border_hover_color:#007395;--button_border_width-top:1px;--button_border_width-right:1px;--button_border_width-bottom:1px;--button_border_width-left:1px;--button-border-radius-top-left:4px;--button-border-radius-top-right:4px;--button-border-radius-bottom-right:4px;--button-border-radius-bottom-left:4px;--button_gradient_top_color:var(--awb-color1);--button_gradient_bottom_color:var(--awb-color1);--button_gradient_top_color_hover:#ffffff;--button_gradient_bottom_color_hover:#ffffff;--button_text_transform:none;\" target=\"_blank\" rel=\"noopener noreferrer\" href=\"https:\/\/patientenpfad.teamwork.contact\/formular\/mvz-kreuzberg\/einwilligungbefunde\"><span class=\"fusion-button-text awb-button__text awb-button__text--default\">Einwilligung<\/span><\/a><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-4 fusion_builder_column_1_2 1_2 fusion-flex-column fusion-flex-align-self-stretch\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:3.84%;--awb-width-medium:50%;--awb-order-medium:0;--awb-spacing-right-medium:3.84%;--awb-spacing-left-medium:3.84%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\" data-scroll-devices=\"small-visibility,medium-visibility,large-visibility\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-3\"><p class=\"isSelectedEnd\"><strong>Einwilligung zur Befundanforderung<\/strong><\/p>\n<p>Damit wir Ihre Behandlung bestm\u00f6glich koordinieren k\u00f6nnen, k\u00f6nnen wir relevante Befunde direkt bei Ihren behandelnden Fach\u00e4rztinnen und Fach\u00e4rzten anfordern. Mit Ihrer Einwilligung erlauben Sie uns, die von Ihnen angegebenen Befunde in Ihrem Namen anzufordern.<\/p>\n<\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-4 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1216.8px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-5 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:20px;margin-bottom:20px;width:100%;\"><\/div><div class=\"fusion-title title fusion-title-1 fusion-sep-none fusion-title-text fusion-title-size-three\" style=\"--awb-margin-top-small:0px;--awb-margin-right-small:0px;--awb-margin-bottom-small:20px;--awb-margin-left-small:0px;\"><h3 class=\"fusion-title-heading title-heading-left fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:22;--minFontSize:22;line-height:2.2;\"><span class=\"a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Versicherungsdaten <\/span><span class=\"a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">digital \u00fcbermitteln<\/span><\/h3><\/div><div class=\"fusion-text fusion-text-4\"><p data-start=\"139\" data-end=\"321\">\u00dcbermitteln Sie Ihre <strong data-start=\"258\" data-end=\"318\">Versichertendaten ganz einfach online an uns:<\/strong><\/p>\n<ol data-start=\"345\" data-end=\"793\">\n<li data-start=\"345\" data-end=\"420\">\n<p data-start=\"348\" data-end=\"420\">\u00d6ffnen Sie unsere Webseite am Computer oder Tablet.<\/p>\n<\/li>\n<li data-start=\"421\" data-end=\"502\">\n<p data-start=\"424\" data-end=\"502\">Nehmen Sie Ihr Smartphone und \u00f6ffnen Sie die <strong data-start=\"473\" data-end=\"499\">App Ihrer Krankenkasse<\/strong>.<\/p>\n<\/li>\n<li data-start=\"503\" data-end=\"665\">\n<p data-start=\"506\" data-end=\"665\"><strong>Dort finden Sie unter dem Men\u00fcpunkt \u201eErsatzbescheinigung\u201c (manchmal auch \u201eVersicherungsnachweis\u201c oder \u00e4hnlich) die M\u00f6glichkeit, einen QR-Code zu scannen.<\/strong><\/p>\n<\/li>\n<li data-start=\"666\" data-end=\"793\">\n<p data-start=\"669\" data-end=\"793\">Scannen Sie den Code mit Ihrer Krankenkassen-App \u2013 und Ihre Daten werden automatisch und sicher an unsere Praxis gesendet.<\/p>\n<\/li>\n<\/ol>\n<p data-start=\"795\" data-end=\"942\">\ud83d\udc49 Falls Sie den Men\u00fcpunkt in Ihrer App nicht gleich finden: Fragen Sie bitte direkt bei Ihrer Krankenkasse nach, wo die Funktion hinterlegt ist.<\/p>\n<p data-start=\"795\" data-end=\"942\"><a href=\"https:\/\/mvz-kreuzberg.de\/wp-content\/uploads\/2025\/09\/Versicherungsdaten.pdf\"><img decoding=\"async\" class=\"lazyload alignnone wp-image-12932\" src=\"https:\/\/mvz-kreuzberg.de\/wp-content\/uploads\/2025\/09\/kim-qr-300x300.png\" data-orig-src=\"https:\/\/mvz-kreuzberg.de\/wp-content\/uploads\/2025\/09\/kim-qr-300x300.png\" alt=\"QR-Code zur \u00dcbertragung der Versicherungsdaten mit Ihrer Krankenkassen-App\" width=\"204\" height=\"204\" srcset=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%27204%27%20height%3D%27204%27%20viewBox%3D%270%200%20204%20204%27%3E%3Crect%20width%3D%27204%27%20height%3D%27204%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-srcset=\"https:\/\/mvz-kreuzberg.de\/wp-content\/uploads\/2025\/09\/kim-qr-12x12.png 12w, https:\/\/mvz-kreuzberg.de\/wp-content\/uploads\/2025\/09\/kim-qr-66x66.png 66w, https:\/\/mvz-kreuzberg.de\/wp-content\/uploads\/2025\/09\/kim-qr-150x150.png 150w, https:\/\/mvz-kreuzberg.de\/wp-content\/uploads\/2025\/09\/kim-qr-200x200.png 200w, https:\/\/mvz-kreuzberg.de\/wp-content\/uploads\/2025\/09\/kim-qr-300x300.png 300w, https:\/\/mvz-kreuzberg.de\/wp-content\/uploads\/2025\/09\/kim-qr-400x400.png 400w, https:\/\/mvz-kreuzberg.de\/wp-content\/uploads\/2025\/09\/kim-qr-600x600.png 600w, https:\/\/mvz-kreuzberg.de\/wp-content\/uploads\/2025\/09\/kim-qr-768x768.png 768w, https:\/\/mvz-kreuzberg.de\/wp-content\/uploads\/2025\/09\/kim-qr-800x800.png 800w, https:\/\/mvz-kreuzberg.de\/wp-content\/uploads\/2025\/09\/kim-qr-1024x1024.png 1024w, https:\/\/mvz-kreuzberg.de\/wp-content\/uploads\/2025\/09\/kim-qr.png 1060w\" data-sizes=\"auto\" data-orig-sizes=\"(max-width: 204px) 100vw, 204px\" \/><\/a><\/p>\n<\/div><\/div><\/div><\/div><\/div><\/p>","protected":false},"excerpt":{"rendered":"","protected":false},"author":6,"featured_media":0,"parent":0,"menu_order":7,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_monsterinsights_skip_tracking":false,"footnotes":""},"class_list":["post-13504","page","type-page","status-publish","hentry"],"amp_enabled":true,"_links":{"self":[{"href":"https:\/\/mvz-kreuzberg.de\/en\/wp-json\/wp\/v2\/pages\/13504","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/mvz-kreuzberg.de\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/mvz-kreuzberg.de\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/mvz-kreuzberg.de\/en\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/mvz-kreuzberg.de\/en\/wp-json\/wp\/v2\/comments?post=13504"}],"version-history":[{"count":3,"href":"https:\/\/mvz-kreuzberg.de\/en\/wp-json\/wp\/v2\/pages\/13504\/revisions"}],"predecessor-version":[{"id":13507,"href":"https:\/\/mvz-kreuzberg.de\/en\/wp-json\/wp\/v2\/pages\/13504\/revisions\/13507"}],"wp:attachment":[{"href":"https:\/\/mvz-kreuzberg.de\/en\/wp-json\/wp\/v2\/media?parent=13504"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}