Course*:
Please choose...Wednesday 05:15 - 06:15 p.m.Wednesday 06:30 - 07:30 p.m.Wednesday 07:45 - 08:45 p.m.

In case the course cannot take place at the selected time, please enter possible other courses in the comments.

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Health Insurance*:

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Information of your medical insurance

I am statutory insured and will pay the course costs of 130€. I require a participation certificate, in order to apply for a 75% refund for the costs of preventions with my medical insurance.I am privately insured and wish a private medical bill in the amount of 140€ for the course costs, to refund with the insurance.I am a self payer und will pay 120€ course costs and do not require a participation certificate to refund with the medical insurance.

Information to your payment method

We are a practice specialised to Pilates and Yoga, for patients with complaints (e.g. muscle tension). This can be done by Dr.Lemm or your GP.
Please make an appointment if you wish one. The medical insurance covers the costs for this. Alternatively you can present us with a doctors attestation, where your diagnosis is evident.

Selection for diagnosis

I am going to make an appointment for a diagnosis (Please use the online-appointment form or phone).I will present an attestation from a different doctor.

After receiving the booking confirmation (email) and at latest 2 weeks before course begin I will:

transfer the course costs to the following account number:

recipient: Vesna Lemm
subject: Pilateskurs
IBAN: DE63 3006 0601 0207 0269 00
BIC: DAAEDEDDXXX

If the payment is not made on time, the course spot will be given to next person on the waiting list.

Please notice: If you can't make it to your appointment please notify us 12 hours in advance (info@berliner-akupunkturpraxis.de).

If you miss an appointment without cancelling, the appointment cannot be repeated.

If you want to attend the course within a preventative measure of your medical insurance, it is necessary that we give you 8 appointments.

If you miss 1 appointment without cancelling, the costs of the whole course have to be taken over by you.

Comment / additional information:

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.

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