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Register as a new patient

Our practice is currently open for new patient registrations!
If you are looking for a small, modern GP practice with one dedicated GP, a familiar face and personal attention, we warmly welcome you to Huisartsenpraktijk Bhogal-Statham.

Please complete a separate form for each family member.
Please remember to deregister with your previous GP and/or pharmacy.

Privacy and retention period
The information provided on this form will only be used to register you with our GP practice and to create your patient record.

After processing, the form will be deleted unless it becomes part of your patient record. Your patient record will be retained for 20 years from the date of the last amendment, in accordance with the statutory retention period.

Personal details

Insurance & Identification

Medical information

Known medical conditions

Allergies

Previous operations/surgery (including dates)

Medication

Additional information

Emergency contacts

Consent

Contact

logo Westerkade 24-A
3116 GK Schiedam

Located in Schiedam Medical Center

phone During office hours
Monday to Friday from 08:00 to 17:00
T 010 - 426 99 52

phone Evenings/Nights/Weekends
(Not life-threatening, but URGENT)
Schievliet General Practice Out-of-Hours Service
T 010 - 249 39 39

e-mailE-mail
Healthcare professionals: via Zorgmail and/or the consultation line
Patients: via the patient portal (Uw Zorg Online)

life-threatening situation Life-threatening situation?
Call 112 immediately when every second counts!

Call 112
Uw huisartspraktijk Bhogal-Statham


Report complaints | Privacy policy | Your privacy
General practice Bhogal-Statham 2026
Design & Realisation: Esens Design