We always send our letters to your home address.Are you moving? Then you do not need to notify us. When you register with your eID at UZ Gent, we will automatically receive your new address.Please do use this form:to pass on a new telephone number or email addressto pass on your new general practitionerto pass on your new address if you are not on the National Register (you are not Belgian or you live outside Belgium)Are you a general practitioner? Use this form to pass on your practice address, if it is not the same as your home address. My details You are * Patient or parent of a minor patient Legal representative of an incapacitated patient Foreign patient General practitioner Patient First name Last name National registry number You would like to * Modify your contact details Update your GP details My contact details Street and number Postal code City / Town Phone number Email address Details of my general practitioner First name Family name Street and number Postal code City / Town Country Phone number My details as legal representative First name Family name National registry number Phone number Email address Relationship to the patient * Partner Parent Child Administrator Other Other Attach a document confirming that you are the legal representative, e.g. the Designation of a Representative document signed by you and the patient. Document? Reporting changes You would like to * Modify the patient's contact details Update GP details Patient data First name Family Name National registry number Street and number Postal code City / Town Phone number Email address Patient's general practitioner First name Last name Street and number Postal code City / Town Country Phone number Foreign patient First name Last name Date of birth You would like to * Modify your contact details Update your GP details My contact details Street and number Postal code City / Town Country Phone number Email address Details of my GP First name Last name Street and number Postal code City / Town Country Phone number General practitioner First name Last name RIZIV number GP's office contact details Street and number Postal code City / Town Country Phone number Email address Data processing To fulfil your request and provide you with a good service, we will process the data you entered. In doing so, we will of course respect your rights. Read more about the processing and protection of your data. Leave this field blank Contact Emergency department Burns centre Making or cancelling an appointment Medical services General services Questions about your invoice? Administrative changes Suggestions, complaints and compliments Other questions
