Book a urology appointment

Make sure your answers are as specific and as complete as possible. Based on your data, which will be treated confidentially, we will be able to make you a suitable appointment proposal.

Patient details
(dd-mm-jjjj)
Gender
Address
Appointment
I want an appointment for a
Reason appointment child
Reason appointment adult
Have you been referred?
Person who made the referral:
First appointment or follow-up appointment?
Do you want a private consultation?
If you choose to see a physician during his private consultation, the hospital can charge additional fees.
Questions or remarks
Last edit: 28 October 2020