Belangrijke patiënteninformatie

Uw gegevens doorgeven of wijzigen

Voor een goede administratieve afhandeling hebben wij uw juiste gegevens nodig.

Bent u nieuwe patiënt dan kunt u uw gegevens alvast aan ons doorgeven. Daarmee kunnen wij uw inschrijving sneller afhandelen.
Bent u bestaande patiënt, dan kunt u hier wijzigingen in uw gegevens doorgeven.

{"id":"11","label":"Wijzigingen","active":"1","original_id":"1","unique_id":"wefj2","params":{"enableForMembership":"0","tpl":{"width":"100","width_measure":"%","bg_type_0":"none","bg_img_0":"","bg_color_0":"#81d742","bg_type_1":"color","bg_img_1":"","bg_color_1":"#333333","bg_type_2":"color","bg_img_2":"","bg_color_2":"#333333","bg_type_3":"color","bg_img_3":"","bg_color_3":"#333333","field_error_invalid":"Controleer uw invoer op onjuiste of ontbrekende gegevens","form_sent_msg":"Bedankt voor het doorgeven van uw gegevens","form_sent_msg_color":"#00afb3","hide_on_submit":"1","redirect_on_submit":"https:\/\/help.radardental.nl\/bedankt-voor-het-doorgeven-van-uw-gegevens\/","redirect_to_submitted":"1","email_form_data_as_tbl":"1","test_email":"info@winstar.nl","save_contacts":"1","exp_delim":";","fb_convert_base":"","field_wrapper":"<div [field_shell_classes] [field_shell_styles]>[field]<\/div>"},"fields":[{"bs_class_id":"12","value":"<p>Voor een goede administratieve afhandeling hebben wij uw juiste gegevens nodig.<\/p><p>Bent u nieuwe pati\u00ebnt dan kunt u uw gegevens alvast aan ons doorgeven. Daarmee kunnen wij uw inschrijving sneller afhandelen.<br \/>Bent u bestaande pati\u00ebnt, dan kunt u hier wijzigingen in uw gegevens doorgeven.<\/p>","html":"htmldelim","mandatory":"0"},{"bs_class_id":"6","name":"nieuw_bestaand","label":"Nieuwe pati\u00ebnt of Wijziging gegevens","value":"","value_preset":"","html":"radiobuttons","mandatory":"1","label_delim":"","display":"row","add_classes":"","add_styles":"","add_attr":"","icon_class":"","icon_size":"","icon_color":"","terms":"","options":[{"name":"Nieuw","label":"Nieuw"},{"name":"Wijziging","label":"Wijziging"}]},{"bs_class_id":"6","name":"Praktijk","label":"Praktijk","value":"","value_preset":"","html":"selectbox","mandatory":"1","label_delim":"","add_classes":"","add_styles":"","add_attr":"<style>rds.hidden {visibility: hidden;}<\/style>","icon_class":"","icon_size":"","icon_color":"","terms":"","options":[{"name":"praktijk@mondzorgkruitberghof.nl","label":"Amsterdam<rds class="},{"name":"praktijk@mondzorgfokkerstraat.nl","label":"Assen<rds class="},{"name":"info@tandartsblokzijl.nl","label":"Blokzijl<rds class="},{"name":"praktijk@mondzorgstatensingel.nl","label":"Gouda<rds class="},{"name":"info@orthodontie-helmond.nl","label":"Helmond<rds class="},{"name":"info@tandartspraktijkdemarke.nl","label":"Hengevelde<rds class="},{"name":"praktijk@mondzorgorion.nl","label":"Utrecht<rds class="},{"name":"info@tandartspraktijkwillemstad.nl","label":"Willemstad<rds class="},{"name":"help@radardental.nl","label":"Onbekend<rds class="}]},{"bs_class_id":"12","name":"full_name","label":"Uw naam *","placeholder":"Uw naam *","value":"","value_preset":"","html":"text","mandatory":"1","min_size":"","max_size":"","add_classes":"","add_styles":"","add_attr":"","vn_only_number":"0","vn_only_letters":"0","vn_pattern":"0","vn_equal":"","icon_class":"","icon_size":"","icon_color":"","terms":""},{"bs_class_id":"6","name":"adres","label":"Adres","placeholder":"Adres","value":"","value_preset":"","html":"text","mandatory":"0","min_size":"","max_size":"","add_classes":"","add_styles":"","add_attr":"","vn_only_number":"0","vn_only_letters":"0","vn_pattern":"","vn_equal":"","icon_class":"","icon_size":"","icon_color":"","terms":""},{"bs_class_id":"6","name":"pc_plaats","label":"PC \/ Woonplaats *","placeholder":"PC \/ Woonplaats","value":"","value_preset":"","html":"text","mandatory":"1","min_size":"6","max_size":"","add_classes":"","add_styles":"","add_attr":"","vn_only_number":"0","vn_only_letters":"0","vn_pattern":"","vn_equal":"","icon_class":"","icon_size":"","icon_color":"","terms":""},{"bs_class_id":"6","name":"Telefoon","label":"Telefoon *","placeholder":"Telefoonnummer","value":"","value_preset":"","html":"text","mandatory":"1","min_size":"","max_size":"","add_classes":"","add_styles":"","add_attr":"","vn_only_number":"0","vn_only_letters":"0","vn_pattern":"","vn_equal":"","icon_class":"","icon_size":"","icon_color":"","terms":""},{"bs_class_id":"6","name":"email","label":"Email adres *","placeholder":"Email adres","value":"","value_preset":"","html":"email","mandatory":"1","min_size":"","max_size":"","add_classes":"","add_styles":"","add_attr":"","vn_only_number":"0","vn_only_letters":"0","vn_pattern":"","vn_equal":"","icon_class":"","icon_size":"","icon_color":"","terms":""},{"bs_class_id":"6","name":"Geboortedatum","label":"Geboortedatum *","placeholder":"Geboortedatum","value":"","value_preset":"","html":"date","mandatory":"1","min_size":"","max_size":"","add_classes":"","add_styles":"","add_attr":"","vn_only_number":"0","vn_only_letters":"0","vn_pattern":"","vn_equal":"","icon_class":"","icon_size":"","icon_color":"","terms":""},{"bs_class_id":"6","name":"BSN","label":"BSN \/ Sofinummer","placeholder":"BSN \/ Sofinummer","value":"","value_preset":"","html":"number","mandatory":"0","min_size":"","max_size":"","add_classes":"","add_styles":"","add_attr":"","vn_only_number":"0","vn_only_letters":"0","vn_pattern":"","vn_equal":"","icon_class":"","icon_size":"","icon_color":"","terms":""},{"bs_class_id":"6","name":"Verzekering","label":"Verzekeringsmaatschappij","placeholder":"Verzekeringsmaatschappij","value":"","value_preset":"","html":"text","mandatory":"0","min_size":"","max_size":"","add_classes":"","add_styles":"","add_attr":"","vn_only_number":"0","vn_only_letters":"0","vn_pattern":"","vn_equal":"","icon_class":"","icon_size":"","icon_color":"","terms":""},{"bs_class_id":"6","name":"Polisnummer","label":"Polisnummer","placeholder":"Polisnummer","value":"","value_preset":"","html":"number","mandatory":"0","min_size":"","max_size":"","add_classes":"","add_styles":"","add_attr":"","vn_only_number":"0","vn_only_letters":"0","vn_pattern":"","vn_equal":"","icon_class":"","icon_size":"","icon_color":"","terms":""},{"bs_class_id":"12","name":"Vragen","label":"","placeholder":"Aanvullende informatie, vragen en opmerkingen","value":"","value_preset":"","html":"textarea","mandatory":"0","min_size":"","max_size":"","add_classes":"","add_styles":"","add_attr":"","vn_only_number":"0","vn_only_letters":"0","vn_pattern":"","vn_equal":"","icon_class":"","icon_size":"","icon_color":"","terms":""},{"bs_class_id":"12","name":"Accoord_privacy","label":"Ik heb het <a href=\"https:\/\/help.radardental.nl\/privacybeleid\/\" target=\"_blank\" rel=\"noopener\">Privacybeleid<\/a> gelezen en ga akkoord met de voorwaarden.","value":"Akkoord","value_preset":"","html":"checkbox","def_checked":"0","mandatory":"1","add_classes":"","add_styles":"","add_attr":"","icon_class":"","icon_size":"","icon_color":"","terms":""},{"bs_class_id":"6","name":"send","label":"Verzenden","html":"submit","add_classes":"","add_styles":"","add_attr":"","icon_class":"","icon_size":"","icon_color":"","terms":""},{"bs_class_id":"6","name":"reset","label":"Reset","html":"reset","add_classes":"","add_styles":"","add_attr":"","terms":""}],"opts_attrs":{"bg_number":"4"}},"img_preview":"base-contact.jpg","views":"105","unique_views":"22","actions":"16","sort_order":"1","is_pro":"0","ab_id":"0","date_created":"2016-05-03 15:01:03","img_preview_url":"https:\/\/help.radardental.nl\/wp-content\/plugins\/contact-form-by-supsystic\/assets\/forms\/img\/preview\/base-contact.jpg","view_id":"11_936283","view_html_id":"cspFormShell_11_936283","connect_hash":"04e7c34cbe75f6639a0c65d6e127676d"}

Let op, bij ieder bezoek aan de praktijk dient u uw verzekeringsbewijs te kunnen tonen. Ook worden uw gegevens gecontroleerd op juistheid. Als wij uw gegevens niet kunnen controleren, bijvoorbeeld omdat u geen verzekeringspas of identiteitsbewijs mee heeft, dan moeten de uitgevoerde verrichtingen direct bij de balie worden betaald. U krijgt in dat geval een factuur en bewijs van betaling. Deze kunt u zelf indienen bij uw verzekering voor vergoeding.

Wij zijn niet aansprakelijk voor extra kosten die ontstaan wegens onjuiste adres en contactgegevens, te late betaling, het niet direct reageren op een onjuiste factuur of een klacht.