Register

Register as a new patient?

Would you like to register as a patient at the Your Dental oral care practice? You can do so by completing the contact form on this page. Once we have received your form, we will contact you as soon as possible to schedule an initial appointment.

Click here for the registration form

New patients are required to complete a questionnaire during their first visit to the practice. This list includes questions regarding address details and health. You must also be able to identify yourself with a legal form of identification and present an insurance card.

Should you have any questions prior to your first appointment, regarding the forms, or about a treatment, you can always call us from Monday to Saturday at 036-8419675. View our current opening hours here. If you are unable to call, you may also send an email to balie@yourdental.nl; one of our staff members will answer your question as soon as possible.

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