In the accompanying brochure you will find all you need to know about our maternity care

Download Brochure

Personal details
Maiden name
First name
House number

Phone number
Mobile phone number
Email address
Date of birth
Partner’s first and last names
Citizen Service Number (BSN)
Insurance details

Health insurer
Policy number
Delivery details

Estimated due date

Is this your first child?
Number of children expected
Which midwife do you see for check-ups during the maternity period?Please note: Even if you are seeing a gynaecologist, you need a midwife for the check-ups during the postnatal period at home.
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