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..


Please let us know your name.
Geef hier uw achternaam
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Please let us know your email address.
Voer hier uw geslacht in
Voer hier in voor wie de vraag is bedoeld

Voer hier de aard van uw klacht in
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