Now open

Your pre-registration

The medical centre is open. Leave your details to be informed when registration under the flat-rate (forfait) system opens. This pre-registration is not yet a final registration.

Pre-registration form

Fields marked with an * are required. Your data is treated confidentially, in accordance with our privacy policy.

Last name *

First name *

Address *

Number *

Postcode *

Town / city *

Phone number *

Email address *

I authorise Maison Médicale Neder to contact me to inform me when registration under the flat-rate (forfait) system opens. *

I have read and accept the processing of my personal data by Maison Médicale Neder, in accordance with the privacy policy. *

We will contact you about registration under the flat-rate (forfait) system.

Your pre-registration has been sent

Thank you. We will let you know when registration under the flat-rate (forfait) system opens.

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