Using the form below, you can transfer the amount to be paid for your treatment via iDEAL. For our administration, we ask you to enter your date of birth as a payment reference so that we can process the payment quickly.
Using the form below, you can transfer the amount to be paid for your treatment via iDEAL. For our administration, we ask you to enter your date of birth as a payment reference so that we can process the payment quickly.