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/ Repeat prescription Drs. An van Veen (Performance code 24200, AGB code: 84021556, AGB clinic: 90064562)
Repeat prescription Drs. An van Veen (Performance code 24200, AGB code: 84021556, AGB clinic: 90064562)
€
19,00
Performance code 24200, AGB code: 84021556, AGB clinic: 90064562
Requesting repeat prescription
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I have had a consultation at BeterKliniek for the past six months?
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If you have not had a consultation in the past year, you will be charged for a consultation if you continue with this form. You may still schedule the consultation the next month at no charge
I agree to pay €19 for the repeat prescription
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Nothing has changed in my health condition since the last prescription?
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Based on the information you provided, you cannot request a repeat prescription. Please contact us during the free patient consultation hour: 040-7117337
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Medicine
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Dosage
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Number
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Unit
capsules
tablets
units
vial(s)
tube(s)
Medicine
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Dosage
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Number
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Unit
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tablets
units
vial(s)
tube(s)
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Repeat prescription Drs. An van Veen (Performance code 24200, AGB code: 84021556, AGB clinic: 90064562) number
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