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Application form for medical professionals

APPLICATION FORM EXEMPTION TO ORDINANCE RESTRICTING THE ESTABLISHMENT OF MEDICAL PROFESSIONALS

Appearance Requirements

Document Requirements
This application will be considered incomplete and will not be processed if all of the below mentioned supporting documents (insofar as applicable) have not been provided.

For medical professionals who meet the requirements as stipulated in the relevant legislations:

1. Copy of valid passport;
2. An up-to-date curriculum vitae;
3. An original certified copy of all relevant diplomas, extract BIG- register (Beroepen in de Individuele Gezondheidszorg) in the Netherlands. In the case of Midwives extract from the Health Registry of Suriname must be included;
4. Proof of registration in a board of medical professionals where the medical professional is registered ( e.g., KNMG) if applicable;
5. Certificate of Current Professional Status (CCPS) from the country in which you last worked, no older than 3 months, if applicable;
6. Copy of relevant labour agreement or, if applicable, proof of application for economic license and relevant corporate documents ( articles of association, registration Chamber of Commerce and Industry);
7. For medical specialists: Copy of admittance/ labour agreement with an established Healthcare Institution;
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