Course*:
Please choose...18./20.12.2020

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Information of your medical insurance

I am insured by a German statutory health insurance. I pay 80 € for my partner, while the the costs for myself will be invoiced by Practice Lemm directly to the statutory health insurance.I am insured in Germany by a private health insurance. I pay the complete sum of 140 € (incl. my partner’s fee) and I wish to receive an invoice for the birth preparation course regarding the part of the costs for myself (80 €) for reimbursement by the health insurance.I am insured in Germany by a private health insurance. I pay the costs of 80 € and I wish to receive an invoice for the birth preparation course for reimbursement by the health insurance.I am insured by a non-German health insurance and I will pay the costs for me and my partner (140 €).

Information to your payment method

The fee has to be paid in advance in cash at the first meeting apointment with the midwife.

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I agree to the processing and the forwarding of the information I entered above. I can withdraw my consent at any time with immediate effect.