Digital waiting list

Hi! Diba Clinics is a widely chosen and visited clinic. As a result
it sometimes happens that it is very busy and you cannot easily reschedule your appointment. We have developed a handy tool for this purpose, making it easy for you to sign up for our digital waiting list. This allows us to see at a glance which service you are on the waiting list for, and what your availability is.

Complete the questions below to be considered for our digital waiting list. We will then contact you as soon as a spot becomes available.

Voornaam *
Achternaam *
Email *
Voor welke dienst wil je op de wachtlijst? (selecteer 1 of meerdere
diensten) *
Ik wil gebeld/gemaild worden wanneer: *
Als je iedere dag kan mag je dit veld leeg laten.