During the intake we want to get to know you and your partner better. That is why we would like to ask you to fill in the questionnaire below in preparation for the intake interview. The questions are about your health and about diseases and/or (congenital) defects that may occur in yourself, your partner and immediate family. On the basis of this information, we can assess whether there are aspects that we need to take into account during the pregnancy, the delivery and/or the maternity period. During the intake we will go through the questionnaire with you. The data is handled and stored with care. We comply with the applicable statutory privacy regulations.
The intake form is in Dutch if necessary you can use google translate or call us if you have any questions!
Om jouw bezoek aan onze website nóg makkelijk en persoonlijker te maken zetten we cookies in. ACCEPTEREN
Privacy & Cookies Policy
Necessary cookies are absolutely essential for the website to function properly. This category only includes cookies that ensures basic functionalities and security features of the website. These cookies do not store any personal information.
Any cookies that may not be particularly necessary for the website to function and is used specifically to collect user personal data via analytics, ads, other embedded contents are termed as non-necessary cookies. It is mandatory to procure user consent prior to running these cookies on your website.