Register at our practice

We welcome new patients.

Are you searching for a new general practitioner and residing in our postal code area? By sending in the registration form you can register directly at our practice.
By using this form you give us your consent to withdraw your registration from your current general practitioner. You will have to inform your current general practitioner of leaving yourself.

Of course you are also welcome to become acquainted with us at our practice first. For this please contact the assistant.


'Patient stop'

It is possible that you can not register at the general practitioner of your choice if there is no room for new patients.

Registration form

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Personalia
Country of birth