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.

Select the practice you want to register with

Data new patient

I hereby give my previous general practitioner permission to transfer my medical data to Huisartsen Badhoevedorp.
I hereby consent to the electronic exchange of medical information to my pharmacy, healthcare providers and the doctor's office. See www.volgenjezorg.nl for more information.