Appointment form


Contact pageAbout Dr. Timmenga

To make an appointment for the first consultation

Welcome to my practice.

You have the option to make an appointment for a first consultation in Voorburg (The Hague), Delft or Rotterdam via the telephone numbers at the contact page, but that will have some disadvantages.
There is no guarantee that the telephone operator speaks English and often the waiting time is substantial.

Therefore it is best to use the form below in which you indicate that you would like to be called to make an appointment for the first consultation.
You can fill out on which days en during which timeframes you can be reached. 

Kind regards,

Dr. Erik J.F. Timmenga

When you have sent in the form, one of my staff members will contact you at the indicated day(s) and time(s) to plan your appointment for the first consultation.

Further appointments during the treatment period will be made by my assistants.

Form: Call me to make an appointment

(*) Mandatory
More than one option possible
Treatment that is not mentioned above or further specification
In case you have been referred, by whom and what is the indication?
Which time and day. suits you most to be called back? Use the space below to specify a weekday and/or time (if applicable).
Space for extra info