Thank you

We have received your submission in the correct order

Thank you for your submission!

Thank you for registering at Mondzorg Tilburg West, you are most welcome!

Can you please send the filled in and signed authorization form to your current dentist, so that we have your information before our first appointment? If you don’t have a dentist yet, please let us know and we’ll take it into account.

You can download the authorization form here
Health questionnaire adults

If you would please call us on 013-5426219, we will schedule a first check-up appointment with me.
Thank you in advance and I am looking forward to see you in our practice soon!

With best regards,
Marloes Joosen – van der Spek, dentist