Registration form

You can register online at one of our practices here. As soon as your data has been processed in our system, you will receive a confirmation by email.
Do you want to register with several people? Please send a separate form for everyone (including children).

We only accept your registration if you have recidency in Badhoevedorp. If you live outside Badhoevedorp, we must refer you to a GP near you.

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Registration form
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Data new patient

Gender

I hereby give my previous general practitioner permission to transfer my medical data to Huisartsen Badhoevedorp.

Autorisation


I hereby authorize the electronic exchange of medical data to my pharmacy, healthcare providers and the doctor's post. See www.volgjezorg.nl for more information.

Autorisation
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