Register as a GP seeker

If you're looking for a new GP but there's no room for new patients, fill in the form below to register as a GP seeker and we'll put you on the Achmea list. We'll email you as soon as there's room.

Good to know: we will just give you the notification. The GP will decide whether or not to take you on as a patient.

Initials*Please fill in initials

Surname*Please fill in surname

Date of birth*Please fill in date of birth

New post code*Please fill in new postcode

New house number*Please fill in the new number of the house

Addition*

New place of residence*Please fill in the new place of residence

What is the (expected) moving date?*Please fill in the moving date

Mail address*Please fill in (a valid) mail address

How many people are concerned?*Please fill in how many people are concerned

Are there any specific details?*

Permission*

I give permission to:

Without your permission you cannot send the form

record my details and use them to find a new GP.
share my details with other healthcare insurers if necessary. We will only do this if you live outside our region but in the region of another healthcare insurer, to help you find a new GP.

We comply with the Zilveren Kruis privacy statement when processing your personal data. Find out more about the grounds for processing personal data and your rights on our website.