Send your referral letter to a medical service

In My UZ Gent you can safely send letters of referral to medical departments at UZ Gent. Are you unable to log in to My UZ Gent? Then send your referral letter via this form.

Patient

First name

Last name

Date of birth

Patient contact details

Email address

Phone or mobile number

Patient address

Street

Number

Postal code

City / Town

Referral letter

Attach your doctor's referral letter

Which medical department do you want to send the referral letter to?

Can't find your department in this list? Then contact the department by phone.

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 data processing and protection.

Send your referral letter to a medical departement

My UZ Gent

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Send your referral letter to a medical departement

My UZ Gent

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