Submit changes with easeSubmit changes to Tandartspraktijk Plantage Middenlaan through the form on this page. First name and initials Surname Date of birth Gender MaleFemale Email address BSN (sofinummer / sofi number / social security number) Are you already registered in our practice? YesNo Type of change Change of addressInsurance dataDeregister What are your changes? I have read privacy verklaring and agree with it