Become a Patient at Huisartsenpraktijk Van Eerd

Register Online

We accept new patients from the following postal code areas: 4811, 4812, 4813, 4814, 4815, 4818, 4819, 4835, and 4837.
Registration is unfortunately not possible if you live outside these areas or already have a GP in one of these postal code areas.

You can fill in the registration form online here. After that, please visit our reception desk with:

  • A valid form of identification, such as a (foreign) passport, driver’s license, ID card, or residence permit
  • Your health insurance information

We ask for the insurance details of all family members and are required to verify their identity.

Having trouble filling in the form online? You can print the form here and either email it to the practice or drop it off at the reception desk.

Do You Have Questions?

We are available Monday to Friday,
from 8:00 AM to 12:00 PM and from 1:30 PM to 3:30 PM.

Call 076-5218647

Registration Form

Persoonsgegevens

Adresgegevens

Verzekeringsgegevens en BSN-nummer

Vorige huisarts

Apotheek

Medische gegevens

Minderjarige gezinsleden

Toestemming

076-5218647

Uw Zorg Online

Personal Attention, Professional Care