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Sometimes you want to do something with your data.

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  • You can view your data

  • You can get a copy of your data

  • You would like to change something

  • You want the data to be destroyed

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That's possible!

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Please complete the form. You can also have it completed by a doctor. Bring the form to the practice.

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Don't forget to send your ID.

Data Inspection or Change Form

Patient's Date of Birth
Month
Day
Year
Multi-line address
Requests for:

This information is sent with extra good security

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Your data

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You can always access your data. The data is secure. Therefore, you will need your DigiD. Press the red button. Enter your DigiD information. You will then see the results.

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Sick? What now?

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We're here for you. Would you like more information beforehand? Your doctor has reliable information about illness and health.

Data Inspection or Change Form

Patient's Date of Birth
Month
Day
Year
Multi-line address
Requests for:

This information is sent with extra good security

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.
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