Thank you very much for your registration and welcome at General Practice Nassaulaan.
If you do not yet have a GP in Haarlem and you live within the area of the following postal codes, you are able to enrol in our practice.
Postal codes: 2011 (until Spaarne) and 2019.
Do you want to register as a patient in our practice but you already have a GP in Haarlem? Please contact us by phone first.
In order to register as a new patient, please fill in the Inschrijfformulier. You can also print out and fill in the English Registration Form and drop it off at the practice, or visit the practice and fill in the form here.
Please remember to fill in the correct BSN and insurance number. Make sure that you always fill in a phone number in case we need to contact you. We kindly ask you to fill in a separate form for every family member that you register.
We are obligated to use the address that is known to your insurance company. If the correct address is not the address that is known to the insurance company, please fill in your new/recent address in the comment section of the registration form. Please also contact your insurance company about your new address.
We would also like to ask you to indicate whether you agree/disagree with the LSP in the comment section. For further information on the LSP, see the link below.
We kindly request you to inform your previous GP that you have registered in our practice and bring along your medical file or have it send to us.
Do you find the form online form too complicated? You can contact us through the contact form, indicating your BSN and insurance number and then we can register you. If you already have a GP in Haarlem, please contact us by phone before you contact us online.