Formulier voor gebruik bij het eerste intakegesprek.
Vul het formulier hiernaast in en stuur deze voorafgaand aan het eerste (intake)gesprek alvast aan ons toe.
Het formulier biedt tevens de mogelijkheid een of meerdere foto’s (selfies) van de betreffende huidlocatie mee te sturen.
Huid en Gezondheidskliniek Woerden
Paardensteeg 4-6
3441 BX Woerden
Telefoon: 0348 748160
eMail: info@huidengezondheidskliniekwoerden.nl
Ma 9.00 – 17.00
Di 9.00 – 14.00
Wo 9.00 – 14.00
Do 9.00 – 17.00
Vr 9.00 – 17.00
Za10.00 – 15.00
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