KiKR Reporting form Details about the doctor GLN * (www.medregom.admin.ch) E-Mail * Information about the patient Patient from canton * Aargau Appenzell Ausserrhoden Appenzell Innerrhoden Basel-Landschaft Basel-Stadt Bern Genf Glarus Graubünden Jura Luzern Neuenburg Nidwalden Obwalden Schaffhausen Schwyz Solothurn St. Gallen Staat Freiburg Tessin Thurgau Uri Waadt Wallis Zug Zürich AHV Number (AHVN13) * Date of patient information * Documents Please upload the reports in PDF format here Maximum 10 files per reporting form, total size max. 10MB per reporting form! Documents * Upload file(s) Upload file(s) Maximum upload size: 8MB If you are human, leave this field blank. Submit
