This form allows you to express your dissatisfaction to the Complaint Mediation Department ( in Dutch: afdeling Klachtenbemiddeling). We will use your personal data only for handling your complaint. The complaint mediators have a duty of confidentiality.
If you have any questions about the form or the procedure, please contact us. We can be reached Monday through Friday from 8:30 a.m. to 5 p.m. at telephone numbers: 088-75 56208 and 088-75 56209.
You may also choose to send the form by mail. In that case, print out the complaint form, fill it out and send it in. The address is in the PDF file. Complaint form to print out (n Dutch).
File a complaint on behalf of a patient?
Do you want to file a complaint on behalf of a patient? If so, please fill out this form (in Dutch), indicating your relationship to the patient.
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