Date of birth
How are you registered?
Please select the right option
I'm registered at GP office Janskerkhof/de Uithof in Utrecht
I'm registered at GP office UT Campus in Enschede
I'm registered elsewhere/I'm not sure if or where I'm registered
Streetname + housenumber
Postal code + city
For what course would you like to register?
Please choose from the drop down menu
Mindfulness course, start 26-9-2022
Mindfulness course, start 23-11-2022
Picture of your health insurance card (only required if you are not registered at GP office Janskerkhof/de Uithof or GP office Campus UT)
Comment or message
I consent to having this website store my submitted information so they can respond to my inquiry
I would like to receive email updates regarding future events (about once every month)