Submit request • Sports medical examination

Request an appointment. We will contact you as soon as possible. Fields marked * are required.

What would you like an appointment for?

Sports injury consultation A sports physician assesses your injury and draws up a treatment plan.

Sports medical examination Assessment of heart, lungs and exercise capacity for athletes.

Exercise test (CPET) Maximal exercise test with breath gas analysis and training zones.

Guidance on return to sport Medical guidance after injury or illness, on your way back to sport.

Not sure yet / advice wanted We will contact you and advise what suits your question.

Preferred date

Details / reason for request

Who is referring you?

Nobody, I am contacting you myself

General practitioner

Physiotherapist

Medical specialist

About the costs With a referral from your GP or specialist, care may be covered by your basic health insurance; your deductible then applies. Without a referral you pay yourself and receive an invoice you can submit to your supplementary insurance.

Athlete details

First name *

Prefix (e.g. 'van', 'de')

Last name *

Date of birth *

For example 15-03-2008.

Gender *

Client's email address *

Phone number

About you (requester)

Please enter your own details as the requester (not the client's).

Your name *

Your email address *

Organisation (club, association, employer)

Your relationship to the client

Invoicing

Who is paying?

Invoice recipient name

Invoice email

Invoice phone number

Reference / PO number

Country of invoice recipient *

VAT number (optional)

Confirmation

I agree to the processing of personal data by United Care Professionals in accordance with the privacy statement (v4.3-augustus-2026). *

Sports Medical Institute

What would you like an appointment for?

Who is referring you?

Athlete details

About you (requester)

Invoicing

Confirmation