088 - 11 67 900
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Kraamzorg VDA For The Smallest Ones
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TO REGISTER

Would you like to enjoy our expert care and pampering during your maternity period? Our dedicated maternity assistants would love to look after you! Fill in your details here. We will send you a written confirmation of your registration within three days. You can’t make head or tail of it? Just give us a ring on 088 – 11 67 900.

    Initials
    Maiden name
    Partner's surname
    Date of birth
    BSN (citizen service number)
    Address
    Postal code
    Town/city
    Phone number
    Phone number partner
    Email address
    Nationality
    Spoken language
    Healthcare insurance company
    Healthcare insurance number
    Midwifery practice
    Place delivery (home/hospital)
    Name hospital (home/hospital)
    Due date of birth
    How many pregnancies?
    Previous children; name, gender, date of birth
    Particulars

    I agree to the General Terms of Delivery

    Have you checked the General Terms of Delivery yet?

    We’ll always send you a confirmation of your registration within three days.