Maternity care

Registration

Conception consultation hour
Pregnancy
Maternity care

Register for the maternity bed

If your pregnancy is supervised by a gynaecologist for medical reasons, you can register for our care during the maternity bed. After mother and child have been discharged from the hospital, the midwife visits the home several times to check mother and child. You can fill in the form below to register.

Name *

Last name *

Date of birth *

Adress *

Zip code *

City *

Email *

Phone number *

Name GP *

Name healthcare insurance *

Number

Social security number

Is this your first pregnancy? *

How many deliveries did you have?

How many children do you have?

How many miscarriages?

When was your last born?

Were you with Vita Nova for your check up's at that time?

What's the reason that you are under supervision of the gynecologist?

What is your due date?

It is nice for Vita Nova to know when the care for you will start. We would therefore like to ask you to call us twice? After the birth (at a time that suits you) and when you go home or have just arrived home. You can call during the day on the mobile number: 06-53202915. We wish you a prosperous pregnancy and delivery and see you in the maternity week! *

Message

Phone number:

E-mail:

Register for the maternity bed

Your pregnancy and delivery in the right hands