Below are some points to be aware of before filling in this form.
- You cannot make or cancel appointments via this form. For that, call the secretariat of the specialty where you have your appointment.
- Do you have a question about your admission or your medical questionnaire?
- You cannot ask medical questions through this form. We will not process or forward these. For the answer to a medical question, please contact the specialty for which the question is intended.
- Please be as complete as possible when filling in this form. The more information you provide, the faster we will be able to help you.
No itsme® or card reader?
You can only log in to Mijn ZAS with itsme® or with your electronic identity card (eID) and a card reader. This is because security is important to us: this is how your identity is checked with the authorities.
Don't have itsme® or a card reader? Then these are possible solutions: