Fill out the form below to register at Verloskundigen Vida.

Your first check-up is when your 8 weeks pregnant, but if you are farther along you’re still welcome of course! In that case you can contact one of the assistants for an appointment.

Register now

Questionnaire

When you have your first check-up we will be conducting a detailed history. This is why we ask you to fill out the questionnaire below. This way you can prepare for the questions and you can try to find out the things you don’t know already.

The filling out of the questionnaire can be done in two ways:

  1. Download the questionnaire as a pdf  and bring this to your intake
  2. Fill out the questionnaire by clicking on the link below. You don’t have to bring the document to your intake
Questionnaire

Consent form

We ask everybody who comes to our practice to fill out a consent form. You can already read the form here.

Consent Form