appointment

For information and appointments, please call 0031 (0)88 888 4444 or alternative 0900 0969

Monday - Friday from 8.00 AM - 8.00 PM

From Saturday May 6th we cannot be reached anymore by phone on Saturdays.

 

Women who live in foreign countries can make an appointment online and fill out the form below. Only completed forms will be processed. If it is not possible to fill out the form below please contact us by phone 0031 (0)88 888 4444 or alternative 0031 (0)71 516 1870.

Make an appointment online

What do you want to make an appointment for?*

Please call for information and appointments,
general number: 0031 (0)88 8884444, or 0031 (0)71 516 1870.
Monday till Friday from 8.00 AM till 8.00 PM
Saturday from 9.00 AM till 1.00 PM

Please call for information and appointments,
general number: 0031 (0)88 8884444, or 0031 (0)71 516 1870.
Monday till Friday from 8.00 AM till 8.00 PM
Saturday from 9.00 AM till 1.00 PM

To make an appointment for male sterilization (Vasectomy), you need to fill out the following medical questionnaire:

Vasectomy medical details questionnaire

You can sign up for an appointment for recovery of male fertility after sterilization (Vasectomy reversal) by completing a medical questionnaire:

Medical data questionnaire for reversal surgery

You can sign up for an appointment for female sterilization (Essure) by completing a medical questionnaire:

Medical data questionnaire for Essure sterilization

Please send us a copy of the filled questionnaire using the field below.

Proceed
Abortion

The date of the ultrasound?

Consultation preferences

Which date(s) do you prefer?

In which clinic do you want to make the appointment?

(Note: Appointments for abortion of pregnancies between 13 and 17 weeks can NOT be made in our clinics in Rotterdam and Goes. Appointments for abortion of pregnancies longer than 17 weeks can ONLY be made in our clinic in Leiden.)

Note


Your personalia

* All items marked with an asterisk (*) are mandatory
X

You can make an appointment for a pregnancy consultation by using the button Mijn Casa on our website.

It is not possible to make an online appointment for this type of service. Please call our general number: 0031 (0)88 8884444 or 0031 (0)71 516 1870 for information and appointments.
The appointments and information centre of CASA can be reached on Monday to Friday from 8 am to 8 pm. On Saturdays from 9 am to 1 pm.

Last modified on 06/07/2017 - 13:39