First appointment

To set up an initial appointment, you may complete this e-form. After completion, a practice assistant will contact you as soon as possible.

Name*

Zip code*

House number*

Phone number*

Email*

BSN*

Birthdate*

1st day of your last menstrual period*

Have you been in our care before?*
yesno

Comments

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Spoed / Emergency

EMERGENCY?

Call our emergency number:

010-455 97 09

Address

Verloskundigen Rotterdam West
Heemraadssingel 152
3021 DK Rotterdam

Tel nr: 010-456.83.69

P.C. Hooftplein 45
3027 AW Rotterdam

Only if no answer:
Doctors Line: 0251-260.224