Register for the Medical Examination (PMO) (EN – Aanmelden)

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Registration

Have you received an invitation for the PMO? Use the following form to register. Directly after you will receive a confirmation by email.

In case you have any questions, please feel free to contact us!

Your data will be treated confidentially and never used for purposes other than PMO.

Unique ID
Registration Code*
Please find the registration code in your invitation.
Gender*
- Male
- Female
Date of Birth*
Initial(s)*
Last name*
Hidden
Street + Number*
Your medical report will be send to this address.
Hidden
ZIP code*
Hidden
City*
Cell Phone*
This phone number will be used to access your medical report via two-factor authentication, and also for the confirmation of your appointment.
Email*
On this address you will receive your digitally secured medical report. Also your online questionnaire (if applicable), date and time of your appointment and evaluation.
E-mailadres invoeren E-mailadres bevestigen
Medical Examination: On which days are you available for the examination?*
Your medical examination will be on one of the days listed below between 8:00 a.m. and 5:30 p.m. at your employer's location and will last approximately 60 minutes. Please specify which dates you are in the office The more days you specify, the greater the chance that we can schedule your examination according to your preference

Reserve the dates in your diary. We kindly request to be flexible and allow the proposed appointments for the PMO to take place accordingly.
- Alles selecteren
- Monday January 9, 2023
- Monday January 16, 2023 (subject to availability)
- Monday February 20, 2023
- Tuesday February 21, 2023
How late do you (usually) arrive at work?*
How late do you (usually) leave work?*
Terms and conditions*
By taking part in the PMO you accept the terms and conditions of the precautionary medical examination and our general privacy statement.
- Yes, I agree