Online Contact Form

Please leave a correct phone number or email address so that we can contact you.

First name, Last name

Company/Organisation (for Referrers)

Date of birth

Street, No.

Zip code

Place

Phone

When can we reach you by telephone? (optional)

Health insurance

What is your reason for coming to us regarding a treatment?

(Substance or non-substance-related addiction, treatment for hepatitis B/C / HIV, etc., if yes, which substances do you consume?)

Are you already receiving any treatment somewhere? (Family doctor, other institutions) If yes, where/with whom?

Is it possible to bring reports/findings to the initial consultation or send them to Arud (arud@arud.ch)?

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All information is sent to Arud in encrypted form and is subject to data protection regulations. If you have any questions, please do not hesitate to contact us on 058 360 50 00.