Sign up for CloudDokter, the Online Care of Medi-Mere

You are about to sign up for the Online Care of Medi-Mere. We thank you in advance for the trust you have placed in us.

For patients, there are a number of rules:

You are open to primarily digital care.
You follow the online triage tool (=Spreekuur.nl) for complaints and act based on its outcome.
You make a choice for an e-appointment, an e-consultation, an e-repeat prescription, or a questionnaire.

"*" indicates required fields

Nickname

Name*

First Name Insertion Surname

Social Security Number*

Gender*

Salutation*

Phone number*

Date of Birth*

Email address*

Address*

Street + house number City Postal code

What is your current health center?*

Date of today*

Comments

Signature*

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