Orthodontie Museumplein, Amsterdam
Referrers
For dentists

Referrers

Refer your patient to Orthodontie Museumplein for any orthodontic treatment using the form below, your own referral channel, or by phone on 020 72 35 222. Questions about a scheduled or completed treatment can be sent to lotte@orthodontiemuseumplein.nl.

020 72 35 222
For referrers

Your referral

Personal and short. After the first consultation you receive a summary of the treatment plan and we keep you updated on your patient's progress throughout the treatment. That way the lines stay short and you always know exactly where your patient stands.

Your referral

Your reference

You can refer your patients to Orthodontics Museumplein for all types of orthodontic treatments via the form below. You may also use your own referral method or give us a call at 020 723 5222.
In case you have any questions about planned or previous treatments of your patient, please give us a call or send us an email at lotte@orthodontiemuseumplein.nl

Referral form

Refer your patient

Fill in the practice and patient details, plus an optional note. We will contact the patient directly to schedule an intake. Fields marked with an asterisk are required.

Practice details

Patient details

Notes

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Prefer to call?

Trouble filling in the form, or rather call? No worries, we are happy to help.

020 72 35 222