First of all, you check in at reception with your name and your health insurance card. The practice staff will ask whether you have a booked appointment or whether you need to see the doctor at short notice, i.e. without an appointment. Appointments and referrals are usually arranged on the spot. You may then need to fill in a few questionnaires about your symptoms, previous medical conditions, allergies, etc. If you arrive at the surgery without an appointment, you may have to allow for longer waiting times, depending on the situation.
The doctor will usually ask about your symptoms right at the start of the consultation. The next step is the examination. Once the doctor has made a diagnosis, they will suggest a course of treatment, i.e. give recommendations on how to proceed and possibly prescribe medication. They will also explain how often and for how long the medication should be taken.
If the doctor makes a diagnosis that requires further treatment by another specialist, they will issue a referral form for the specialist providing further treatment. The referral form, prescriptions for medication and any therapeutic treatments (e.g. physiotherapy) will be handed over at the end of the appointment (at reception). A new appointment will also be arranged at reception, if necessary.