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Have you just moved into our zip code area (zip code: 1051, 1052, 1013 and 1015) and do you currently not have a doctor in the area? Then you can register yourself in our practice using this registration form.

Your information will be sent to our administration. After this has been checked for anomalities we will enrole you you in our pratice and you will receive a confirmation of your registration. We withhold the right to deny enrolement if there are any anomalities.