Dentist Hengelo - Dental Clinics Hengelo - Boerhaavelaan

Skip to main content

Back to Dental Clinics Hengelo - Boerhaavelaan

Register as a patient

Facebook

This field is for validation purposes and should not be changed.

Dental Clinics Practice*

Your personal data

How would you prefer to be addressed?*

As a man

As a woman

If neither

Name*

First name Surname

Email address*

Phone number*

Country*

Address*

Postal code House number + Addition

Street (will be filled in automatically) Location (will be filled in automatically)

Address*

Street + house number Location Postal code

Date of birth*

DD/MM/YYYY

Citizen service number (BSN).*

Example: 123456782.

Citizen service number (BSN).

Example: 123456782.

Additional family members

This field is hidden when viewing the form

Number of additional family members

Additional family members

Name	Date of birth	Actions

No additional Family Members have been added yet, please add them below.

Do you have any questions or comments?

Question/Comment (optional)

Do you have a specific treatment in mind, such as teeth whitening, invisible braces or veneers? Let us know below.

How did you hear about us?*

Other, namely*

What is first and last name of the aandrager?*

What is the email address of the person who nominated you for the action?*

What is the date of birth of the person who nominated you for the action?

CAPTCHA

This page has been automatically translated. Fake emails circulating in the name of Infomedics Several emails are currently circulating in the name of Infomedics, stating that a payment has not been received. The email currently in circulation is titled:'Outstanding claim – Infomedics'and asks for a payment of €115.14, €151.68, or €157.68 under file number 67382 or 67385. Do not click on the link, do not make any payment, and delete the email. The email addresses do not originate from Infomedics' systems. Therefore, there has been no data breach. Want to read more? Go to the Infomedics website.

more

This page has been automatically translated.

Fake emails circulating in the name of Infomedics
Several emails are currently circulating in the name of Infomedics stating that a payment has not been received. The email currently in circulation has the subject line:'Outstanding claim – Infomedics'and asks for a payment of €115.14, €151.68 or €157.68 under file number 67382 or 67385. Do not click on the link, do not make any payment and delete the email. The email addresses do not originate from Infomedics' systems. Therefore, there has been no data breach. Want to read more? Go to the Infomedics website.