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Register form

Identification
Are family members/partner/children already registered
Are you familiar with a chronic illness for which you take medication?

June 2025:

We are (temporarily) closed for new patiënts. If you don't have time to wait please contact another practice.

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Registration forms filled in after 1st of June will be kept and you will be contacted once we have availibility. 

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U can register with us if you live in Noordwijk Binnen or Noordwijk aan Zee.

 

If you have had a GP in another part of the Netherlands please inform that practice that you have moved so they can transfer your medical file to us.

 

Do you want to register with other family members we kindly ask you to fill in a separate form for every family member (also for children).

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Make an appointment?

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