- AGB code of the referring physician
- Patient's citizen service number (BSN)
- Patient's phone number
Skin & Vision Clinic is a specialized center for both functional and aesthetic eyelid surgery. Our experienced ophthalmologists treat patients with conditions such as ptosis, dermatochalasis, ectropion, entropion, chalazion, and eyelid tumors. We offer short waiting times, fast diagnostics, and high-quality care — all provided at our clinic in Amsterdam.
We value your referral and are committed to providing your patient with expert care.
Download our patient instruction sheet, including appointment details and directions to our clinic:
Download patient instructions + directions
Once we receive your referral, we will contact the patient directly. There is no need for the patient to schedule the appointment themselves.
For correct and rapid processing of the referral, we ask you to always provide the following information:
Click the button below to securely send your referral:
Our physicians are available for consultation if you have questions about indications or treatment options.
Please contact us at info@skinandvision.nl or call us at +31 (0)646096641