Amsterdam dental practice

New patient

Our practice is always open for new patients.
You are extremely welcome!

If you decide to become our patient, you will notice that a number of things proceed differently than you may have been used to.

We reserve a full hour for your first appointment.

During that time we would like to get to know you, and hear your dental wishes and complaints. We will also discuss your general health.

A very extensive dental examination will take place, and x-rays made. You can bring the dental information and x-rays from your previous dentist along, or have it sent to us.

After this examination, we will discuss the current condition of your teeth with you in detail.
If your dental situation is a little more complex, we will set up a second appointment for this discussion.

No procedures will be performed during your first visit unless you have urgent complaints.

Register form

Registration date
Last name
First name
Initials
Gender	Male Female
Address
Zipcode
City
Date of birth
Telephone
Mobile phone
E-mail address
Insurance company
Insurance number
Bsn number
Practice	Lassustraat Keizersgracht
How did you find us?
Why would you like to be our patient?
Who was your previous dentist, and when was your most recent visit?
Do you have any dental complaints at this time?
On which days and times are you unavailable for an appointment?
Do you have any specific wishes or expectations?
Registration form partner

Last name
First name
Initials
Gender	Male Female
Date of birth
Mobile phone
E-mail address
Insurance company
Insurance number