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HKZ ISO 9001

Beschikt u reeds over inloggegevens, dan kunt u hier inloggen, anders kunt u het onderstaande formulier gebruiken om een nieuwe account aan te maken.

Create a new practitioner account

Fields marked with ＊ must be filled in.

Email:
Desired password
Repeat password
Profession:  
Member of professional association
If your professional association is not in the list, then you can enter it in the notes at the bottom.
Name of the practice
gender:  
Initials:
First name:
Prefixes:
Last name:
Country
Zipp code
Address
City
Telephone no.
AGB-code practitioner e.g. 12-345678
Member of Patient organization (KVHN)
Optional notes
This text will be printed on all your prescriptions!
Bewaartermijn: Mijn gegevens automatisch verwijderen na inactiviteit.
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