Complaint form HollandZorg

Please let us know if you are dissatisfied.
Use our online complaints form to report your complaint about our services or a care provider.

Lodging a complaint

Type of complaint Complaint about the service Complaint about a letter Customer number (Your customer number can be found on your policy schedule or in the welcome e-mail you may have received)*. Initials * Insertions Last name * Gender* Mr Mrs Date of birth * Postal code House number * Addition Address * Place of residence * Phone number * E-mail address *

Please indicate your complaint about the letter in the fields below:

Reference of the letter * Date of letter Describe your complaint (Please note: we advise you not to share any medical information or BSN with us via this form)*

Please indicate your complaint in the field below:

Describe your complaint (Please note: we advise you not to share any medical information or BSN with us via this form)*:

Complaint form HollandZorg

Lodging a complaint

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