Huisarstenpraktijk Haarlemmerpoort

Describe your complaint

Your complaint will be processed as soon as possible. You will receive a response from us. Pay attention! This form is only intended for complaints. Questions (especially medical questions) can be asked by logging in to our healthcare online portal. Here you will find a secure question form. Non-medical questions can be asked by sending an email to This email address is being protected from spambots. You need JavaScript enabled to view it..

E-Complaint

First Name(*)

Please let us know your name.

Last Name(*)

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Date of Birth(*)

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City(*)

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Postal Code(*)

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Phone Number(*)

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Your E-mail(*)

Please let us know your email address.

Gender(*)

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Adressed to(*)

Voer hier in voor wie de vraag is bedoeld

Type of Complaint(*)

Medical actions of the employee
Treatment by the employee
Organization GP practice
Administration / Financial settlement
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Your Complaint(*)

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