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Ear Home Laser
Laser Therapy
Testimonials
Innovative laser therapy for tinnitus
Spectrum Laser Therapy
Laser Therapy for children
About
About Dr. M.D. Lutz Wilden
Our Clinic on Ibiza
Flyer Dr. Wilden Home Laser
Consultation Form
Shop
Contact
Start
Ear Home Laser
Laser Therapy
Testimonials
Innovative laser therapy for tinnitus
Spectrum Laser Therapy
Laser Therapy for children
About
About Dr. M.D. Lutz Wilden
Our Clinic on Ibiza
Flyer Dr. Wilden Home Laser
Consultation Form
Shop
Contact
Simply fill out our consultation form
And we will come back to you as soon as possible.
Free Consultation Form
Inner ear problems:
Hearing loss
Tinnitus
Vertigo
Preassure in the ear
Morbus Ménière
Hyper and Dysacusis
Other
Treatment applied:
Oxygen Therapy
Autogenic training
Infusions
Pressure chamber
Acupuncture
Laser therapy
Other
When was the problem first detected?
If you have Tinnitus, please describe it. (Sound level / quality / left ear / right ear)
Do you wear a hearing aid?
Yes
No
If so, since when?
Family or hereditary factors. Please describe.
Have you suffered from acute trauma?
Operation
Accident
Psychic-physical disorders
Noise
Sudden loss of hearing
Head injury
If you are you currently taking medication, please indicate what kind.
Has a nuclear spin tomography of your head already excluded a brain tumor (i.e.:Acoustic Neurinoma)?
Yes
No
Please attach audiometric test result (audiogram) if available
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