To enrol

We are happy to assist you

NB; Many general practitioners in Amstelveen are currently closing their practices. We are still accepting patients, but we may invite you for an interview before we make the registration official.

We are also open to patients in the Uithoorn and Aalsmeer region, but unfortunately we cannot make visits to that area and we can therefore only offer you consultations at the practice.

You can register for our practice using the form below.

Data is stored securely

1Personal data

2Insurance information

3Previous doctor

4Send data

Initials*

Last name*

Sex*

man

Woman

Otherwise

Date of birth*

E-mail address*

Telephone*

Street

House number + addition

Postal Code

residence

Citizen service number*

No BSN

I don't have a BSN

Health insurance name*

Policy number/insurance number*

No Dutch health insurance

I do not have Dutch health insurance

Name of previous GP*

No previous GP

I have no previous GP

Location of previous GP*

We only accept patients who do not yet have a GP in Amstelveen and therefore come from outside Amstelveen

Medical file*

Do you give permission for us to request your medical file from your previous GP?

Yes

Which branch do you want to be registered with?

You can choose which practice is closest to you

Approval*

If you send this form, you authorize Huisartsenpraktijk Kronenburg to register your details in the ION (registration by name) register. You also approve our privacy policy and any verification of your personal data on location.

I give approval

Your request has almost been received

We will contact you after sending this form. However, this is not a final registration. We will keep you informed of the progress of your registration at Huisartsenpraktijk Kronenburg.

CAPTCHA

To enrol

We are happy to assist you

Your request has almost been received

Read more about us in this special document about Medical and Paramedical care at Huisarts Kronenburg (link)