To enrol

Would you like to register with one of our pharmacies? Welcome!

When filling this out, it is helpful to have the following personal details at hand:

When you visit the pharmacy for the first time after registration, you must identify yourself with a valid form of identification such as an ID card, passport, or driver's license. 

 

Children up to and including 15 years of age can be registered together. We ask adult family members and children aged 16 and over to complete their own form.

 

Do you find it difficult to fill out the form digitally? Don't worry, the registration form is also available at the pharmacy.


The following document can be completed for the direct debit. This is handled via InfoMedics.

Secret Link

Merel van Nimwegen

Linda Pronk

Veronique Huisman

Tim Jongejans

Jasper Flick

Dr. René Castien

Laura de Kam

Lotte de Fockert

Andreas Amons