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

    captcha

    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