Registration form

Please fill in our online registration form for the course you would like to attend.

You will receive a conformation within 5 business days. More information will be sent to the email address that you provide.

In case you don’t receive a conformation, please contact us via e-mail: or by phone +31 (0)633688491.

Select the education / lecture you want to attend
Please enter the phone number we can reach you on in case of urgency, e.g. on a course day.
Click here to read, download or print the payment and cancellation policy and click here to read our privacy statement.
I will transfer this amount to account NL93 RABO 0162.5579.65 in the name of Healthcare-Academy Den Hoek, located in De Bilt, The Netherlands, quoting the invoice number.