Please note: These pages may contain confidential and personal data
Wilhelmina Kinderziekenhuis
HIPPO
HIPPO_WKZ
What is your relation to the child?
What is your birthdate?
Your e-mail address:
Is there someone else taking care of the child?
What is his/her relation to the child?
What is his/her birthdate?
If you want to create a separate account (with a separate password) for this person please fill in his/her e-mail address. When this field is left blank you will share a single account.
Indien u ouder bent van een meerling, kunt u in de aangeboden vragenlijsten 'kind' lezen als 'kinderen'.
Please fill in your child's patient number at the hospital. If you don't know this number you can leave it blank.