TB test immigrants and expats

Registration form

This form is for residents of Amsterdam-Amstelland: Amsterdam, Aalsmeer, Amstelveen, Diemen, Driemond, Duivendrecht, De Kwakel, Kudelstaart, Ouderkerk aan de Amstel, Ouder-Amstel, Uithoorn en Weesp.

If you do not live in the public health region of Amsterdam please make an appointment with the TB department of the public health service (GGD) in your own region: search for your local GGD

This application will only be processed if you live in the (GGD) region of Amsterdam.

Please fill in a complete form for each family member. Children under 12 do not need to be tested

First name (verplicht)

Initials (verplicht)

Surname (verplicht)

Gender

Female
Male
Other

Date of arrival in the Netherlands (verplicht)

Country of birth (verplicht)

Nationality (verplicht)

Date of birth (verplicht)

Children under 12 do not need to be tested.

Fill in your address in the Netherlands

Street name (verplicht)

House number (verplicht)

Addition to house number (niet verplicht)

Zipcode (verplicht)

City (verplicht)

Phone number (verplicht)

E-mail address (personal) (verplicht)

V number (verplicht)

Vnumber

After you have clicked OK, scroll down and click Afronden.

Gemeente Amsterdam

TB test immigrants and expats

Registration form

About this form (niet verplicht)

Gender (verplicht)

Date of birth: explanation (niet verplicht)

Address (niet verplicht)

Where can i find my V number? (niet verplicht)

Veld (niet verplicht)