Medical Center / GP Practice
Welcome to our practice. After receiving this form, our assistant will create a medical record for you and, if available, will request your medical records from your previous doctor in the Netherlands. It is important that you inform your previous dutch doctor about your registration with us. Only then he/she can forward your medical file.
Please mind: we often receive many applications at once. It may take up to a few weeks before we process your registration. You cannot book appointments before you get the confirmation of your registration.
Note: the orange parts must be filled in order to process the registration.
Need help with this site?
Please inform uw if you encounter technical problems when using this website. We will try to solve the issue as soon as possible.
Medisch Centrum Noord
2316 SZ Leiden
t: +31 (0) 71 521 20 25
f: +31 (0) 71 522 57 62
© 2015 Ivo Minken. All rights reserved.