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Registration at Aemstelwijck GP practice.

Do you live within our area of concern? Then you can register with our practice.

Duo practices

Within our practice we work with pairs of GPs. This means you can register with a team of two GPs. Currently, you can register with one of these practices:

Dr L.C.F. Smit and Dr F. Buchem
Dr H.C. De Raad and Dr V. Bruins Slot
Drs M.M. Griever-Bos and Dr R. Tamboer

Registering your newborn baby and children

Have you had a baby? Then don't forget to register your baby with us. This does not happen automatically. You can easily register your baby with your own GP using the registration form. Is the practice where you are registered currently closed for new registrations? In that case, tick 'no preference' on the form. This way, your child will still be registered with your GP.

Would you like to register several family members? Children under 16 years old can be registered via the form of one of the parents; a separate form is not required. A separate form must be submitted for children aged 16 and above.

Patients from Villa Ouderkerk

Huisartsenpraktijk Aemstelwijck cannot register patients from Villa Ouderkerk. Villa Ouderkerk admits people with an indication for the Long-Term Care Act (WLZ). Inpatient care requires specialised expertise from a team around a specialist in geriatrics. You can discuss with the Villa Ouderkerk organisation how medical care for you or your relative will be arranged.

Registration form

Do you live in the area where we provide care? If so, you can enter your details here. After you have registered, you will also be registered for the patient portal. You will receive an e-mail from this, which serves as confirmation of registration.

Note: Children under 16 years of age can be registered through one parent's form; no need to submit their own form.

Surname:(Required)

Initials:(Required)

First name:(Required)

Gender(Required)

Date of birth(Required)

Place of birth(Required)

Street name and house number(Required)

Postcode(Required)

Residence(Required)

Mobile phone number(Required)

Phone number

Email address(Required)

Choose your proof of identity(Required)

Document number ID or passport(Required)

Citizen service number (BSN)(Required)

Which GP would you like to register with?(Required)

New pharmacy(Required)

Enter the name of the pharmacy to which we can send prescriptions once we have enrolled you.

Previous GP

It is necessary that you inform your previous GP yourself that you want to become a patient at our practice due to the sending of your medical records.

Name of previous GP

Family members

Do you have a partner or spouse?

Your partner or spouse should be registered via a separate form.

First name

Surname

Date

Do you have children?(Required)

For children under 16 years of age, please use this form to register them. A separate form should be submitted for children aged 16 and above.

First name

Surname

Date

Citizen service number (BSN)

First name

Surname

Date

Citizen service number (BSN)

First name

Surname

Date

Citizen service number (BSN)

First name

Surname

Date

Citizen service number (BSN)

Comments

Notes and important data

E.g. for medication monitoring (allergy, history, hypersensitivity, illness, pregnancy, breastfeeding, etc.).

Contact

	020 - 49 63 600
	Koningin Wilhelminalaan 48 1191 BV Ouderkerk aan de Amstel

Opening hours

Monday	08:00 - 17:00
Tuesday	08:00 - 17:00
Wednesday	08:00 - 17:00
Thursday	08:00 - 17:00
Friday	08:00 - 17:00
Saturday	Closed
Sunday	Closed

Practice information

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