Registration

Do you want to become a patient at our practice? You can enroll by contacting us by phone or filling in the enrollment form. Our assistant will contact you to schedule an initial appointment.
We recommend to bring children from the age of 2 to the practice for the semi-annual inspections.

Register

Initials*

Last name*

First name*

Geslacht
WomanMan

Email*

Street address*

Zipcode*

City*

Date of birth*

Phone*

Mobile phone*

Is there a dental complaint?*

When was your last dentist visit?*

Should you, for whatever reason, not receive a reminder from us this does not mean your appointment has been cancelled. This reminder is a service offered you by PC2-tandartsen and does not entitle you to invoke any rights. This means that if you do not cancel your appointment at least 1 day (24 hours) prior to your appointment, you will be charged for that appointment.