You can fill in this form if you are interested in registering as a patient. You will then receive our registration form by e-mail.

In addition to your contact details, we would like to hear the reason for registration (for example, moving house) and your (future) zip code.
We accept patients who live in the Binckhorst, and the adjacent parts of Voorburg, Rijswijk, The Hague Laak, Stationsgebied and Bezuidenhout.

It is only possible to make an appointment once the entire registration process has been completed and the medical details of your previous GP have been received.

Are you hesitating to register? You can also contact us for a non-binding introductory meeting!