www.samsomhuisarts.com

To register yourself or your child as a patient you can visit our practice on working days between 8.00 - 12.00 hrs and between 14.00 - 16.00 hrs.

Below you find the links to our printable registration forms. Please choose the right form for you, print it out and fill it in before you come to us to register yourself. We also ask you to bring a valid identification and your health insurance pass.

Printable registration forms