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Registration


Currently there are two ways to register.

1-New registrations at Huisartsenpraktijk Brabantpark:

At the moment we are open for students of the BUAS and AVANS living in Breda ( that do NOT have a GP in Breda yet) , and for patients living in the postcode 4811, 4816, 4817 and 4818.

In the Netherlands, it’s not possible to simply go to the hospital during office hours for emergencies. Therefore, it’s mandatory to have a general practitioner in your place of residence. To register with our practice you can fill in the registration form below.  We will contact you as soon as possible after processing. 

 

PLEASE NOTE:

It may take up to three weeks for your registration to be fully processed.

You must complete a separate registration form for each member of your family.

You can only schedule an appointment at the practice once we have received your previous GP’s file.

Registrations will not be processed during our holidays/training days.

 

 

 

Registrationform

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Persoonsgegevens

Gender(Vereist)
DD slash MM slash JJJJ

Adresgegevens

Insurance number and BSN-number

MM slash DD slash JJJJ

Details of the previous GP/GP at your other home address

Details previous pharmacy/pharmacy at your other home address

Medical data

Are you hypersensitive to or familiar with side effects for medicines or excipients? (e.g. penicillin, lactose) If, yes, for which medicines and/or excipients; what are the side effects?
Medicinal product and/or excipient
side effect
 
Do you use medication(Vereist)
Name of medicine
how many miligrams
How often per day
 
Do you use over-the-counter remedies / alternative means / dietary supplements? (think of painkillers, stomach tablets, vitamin preparations, St. John's wort)
Do you have problems using a medicine? For example, difficulty swallowing, opening packaging, eye dripping, injecting insulin, forgetting to take it on time?
Which medicine causes problems?
What problem do you have?
 
Do you use a weekly dosing system for your medicines?(Vereist)

Do you have a chronic illness or does this disease run in your family?

Diabetes
Do you have diabetes
Does diabetes runs in your family
Heart disease
Do you have a Heart disease
Does heart disease runs in your family
Kidney disease
Do you have kidney disease?
Does kidney disease run in your family
High blood pressure
Do you have a High blood pressure?
Does high blood pressure run in your family
Asthma of COPD
Do you have Asthma or COPD
Does Asthma or COPD run in your family?
Epilepsy
Do you have Epilepsy?
Does Epilepsy run in your family?
Other diseases
With you
In your family
 
Are there hereditary diseases/ disorders in your family?
Did you get a flu vaccination from your previous gp?
Are you being treated by a specialist?
Have you ever had surgery?
Have you ever had an accident?
Are there any topics that you think the doctor should be aware of? Below you can indicate these topics. If you are a student at the BUAS or Avans, please write down which school and study year.

Lifestyle

Do you smoke?
Do you use alcohol?
Do you use drugs?
Consent of the patient for the retrieval and exchange of data to other healthcare providers with due observance of medical confidentiality. Requesting your medical data from your previous gp is necessary for the provision of medical care.
Can we request your medication data from your previous pharmacy?
Exchanging data with the hospital in the context of a treatment
Do you allow us to exchange data with the hospital in the context of a treatment.
May we request your data from other healthcare providers?
Making data available to healthcare providers
I agree to the retrieval and exchange of my data as indicated above*(Vereist)
Dit veld is bedoeld voor validatiedoeleinden en moet niet worden gewijzigd.

 2- Register to thuisdok.nl:

Thuisdok.nl is a digital general practice in Breda and the surrounding area. You can come to Thuisdok for complete general practitioner care in a smarter way. What can be done quickly and online, we arrange digitally in a responsible manner, together with you. For this we use the innovative software from www.spraakuur.nl.

For emergencies and for questions that require direct contact with a healthcare provider, for example in the case of chronic or palliative care, we always have room for you at one of our practice locations in Breda.

Do you like to keep control in your own hands? Are you looking for flexibility while retaining full-fledged general practitioner care and are you familiar with the use of a smartphone? Then Thuisdok.nl is the ideal GP practice for you! Register right away! Click here to register at Thuisdok.nl

The general practitioner care of Thuisdok.nl is covered by the basic package of your DUTCH health insurance.

 

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