For referrers
Register a Patient Without ZorgDomein
Please fill out the registration form below. We will then contact you.
Do you use ZorgDomein? If so, you can also make referrals through ZorgDomein. For more information, see “For Referrers.”
Collegial consultation
If you have any doubts about the referral, you can always contact us for collegial consultation by calling: 070 – 424 72 00.
Referrer Registration Form
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