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Ernst Wijsmuller

Ernst Wijsmuller

General Practitioner (GP)

Huisartsenpraktijk Franssen | Wijsmuller

Kuipersstraat 151a

For the processing of repeat prescriptions, we use the services of Doctena.
Doctena has taken adequate measures to ensure your privacy, security and reliability of the data exchange. It is obliged to keep all data entered in the online order form secret. This is conform to the processing agreement we have with Doctena.

E-prescription

Patient information
 
x
Prescription no1

Please Indicate why a repetition of the medication is necessary/desirable.
Please report any side effects you may have experienced from this medication and changes in your medication intake and health.

x
Prescription no2

Please Indicate why a repetition of the medication is necessary/desirable.
Please report any side effects you may have experienced from this medication and changes in your medication intake and health.

x
Prescription no3

Please Indicate why a repetition of the medication is necessary/desirable.
Please report any side effects you may have experienced from this medication and changes in your medication intake and health.

x
Prescription no4

Please Indicate why a repetition of the medication is necessary/desirable.
Please report any side effects you may have experienced from this medication and changes in your medication intake and health.

x
Prescription no5

Please Indicate why a repetition of the medication is necessary/desirable.
Please report any side effects you may have experienced from this medication and changes in your medication intake and health.

You reached the maximum quantity of prescriptions.

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