Book appointment

The easiest way to make an appointment. Fill out the form below and let us know when you would prefer to visit the dental practice. We cannot guarantee that there will be space in our agenda at that time. Our receptionist will contact you after completing the form to agree the final date with you.

"*" indicates required fields

Step 1 of 2

What is the reason for the appointment?*

Preferences

I want to be helped by a female dentist

I am afraid of the dentist

I am looking for a dentist with a lot of experience with children

Are you currently experiencing pain?

Yes

Desired date*

NB! The appointment will only be scheduled on this date if space is available. The receptionist will confirm the appointment with you. Only then is the appointment final. If the date is not available, the receptionist will come up with an alternative. This will happen within 48 hours.

Desired time

Are you already a patient at our practice?*

Yes

Gender

Man

Woman

Name*

First Last

Date of birth*

Address*

Street adress + number City Zip code

Social security number*

Select your insurer*

Telephone*

Email*