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Declaration of hospitalisation
Submission of costs
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Hospitalisation
Ambulatory care
Serious illness
Abroad
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Vanbreda Multisite Platform
Health Care
Declaration of hospitalisation
Declaration of hospitalisation
You can report a hospitalisation by completing the form below. Mandatory fields are marked with an asterisk (*). We will treat your claim as soon as possible.
Click
here
for more information about the Medi-Link procedure. Consult the list of affiliated hospitals
here
.
Personal data patient
First name
*
Last name
*
Telephone number
E-mail address
*
Enter Email
Confirm Email
Date of birth
*
Date Format: DD slash MM slash YYYY
Information about the claim
Date of admission to the hospital
*
Date Format: DD slash MM slash YYYY
One day clinic
*
Yes
No
Emergency hospitalisation
*
Yes
No
Location of admission
Hospitalisation abroad
*
Yes
No
Province of the hospital
*
Province of the hospital *
Antwerp
Brussels-Capital Region
East Flanders
Flemish Brabant
Hainaut
Liège
Limburg
Luxembourg
Namur
Walloon Brabant
West Flanders
Hospital
*
Hospital
AZ Klina - campus De Mick - revalidatie
AZ Klina - campus Klina
AZ MONICA Antwerpen
AZ MONICA Apra kliniek
AZ MONICA Deurne
AZ Rivierenland campus Bornem
AZ Rivierenland campus Rumst
AZ Rivierenland campus Willebroek
AZ Sint-Dimpna
AZ Sint-Jozef Malle
AZ St. Maarten campus Liersesteenweg
AZ St.-Elisabeth Herentals
AZ Turnhout - campus Sint-Elisabeth
AZ Turnhout - campus Sint-Jozef
Bethaniënhuis campus Kapellen
Bethaniënhuis campus Zoersel
GZA ziekenhuizen - campus Sint-Augustinus
GZA ziekenhuizen - campus Sint-Jozef
GZA ziekenhuizen - campus Sint-Vincentius
Heilig Hartziekenhuis Lier
Heilig Hartziekenhuis Mol
Imeldaziekenhuis
Multiversum - PZ Campus Alexianen
Multiversum - PZ Campus Amedeus
Openbaar psychiatrisch centrum
Revalidatieziekenhuis RevArte
St. Norbertus psychiatrisch ziekenhuis CEPOS
Universitair Ziekenhuis Antwerpen
Verplegingsinrichting 'De Dennen'
ZNA Hoge Beuken
ZNA Jan Palfijn
ZNA Joostens
ZNA Middelheim campus Middelheim
ZNA Middelheim Paola kinderziekenhuis
ZNA Middelheim UC kinder- en jeugdpsychiatrie
ZNA Psychiatrisch Ziekenhuis Stuivenberg
ZNA Sint - Elisabeth
ZNA Sint - Erasmus
ZNA Stuivenberg
Hospital
*
Hospital
Bivouac ASBL L'hôpital psychiatrique de jour
Centre hospitalier Jean Titeca
Centrum l'Equipe'
CHIREC - Basilique Brussels one day
CHIREC - Clinique du parc Leopold
CHIREC - Clinique Edith Cavell
CHIREC - Clinique Ste-Anne / St-Remi
CHIREC - DELTA
CHIREC - Nouvelle clinique Basilique
CHU Brugmann Site Paul Brien
CHU Brugmann Site Reine Astrid
CHU Brugmann Site Viktor Horta
CHU Saint-Pierre - César de Paepe
CHU Saint-Pierre - Site Hallepoort
Clinique Sans Souci
Cliniques de l'Europe site St. Elisabeth
Cliniques de l'Europe site St. Michel
Epsylon - Site Area +
Epsylon - Site Institut Fond'Roy
Epsylon - Site La Ramée
Home Chez Nous
Hôpital Erasme - Centre Revalidation Gériatrique
Hôpital Erasme ULB - Centre Traumatologie
Hôpital Erasme ULB – Erasme
Institut Jules Bordet
IRIS Sud campus Baron Lambert
IRIS Sud campus Etterbeek - Ixelles
IRIS Sud campus Joseph Bracops
IRIS Sud campus Moliere Lonchamp
Kliniek Sint-Jan - campus Kruidtuin
Kliniek Sint-Jan - campus Leopold I
Kliniek Sint-Jan - campus Middaglijn
Kliniek Sint-Jan (one-day)
Psycho - sociaal centrum St. Alexius
Reine Fabiola Hôpital Universitaire des Enfants
SILVA medical - Geriatrisch Centrum Scheutbos
UCL St Luc Site Albert 1 & Reine Elisabeth
UCL St. Luc Site St. Luc
UZ Brussel
VALIDA Site Goffin
Valisana – Clinique Sanatia
Hospital
*
Hospital
Algemeen Ziekenhuis Sint-Elisabeth V.Z.W.
ASZ Aalst campus Aalst
ASZ Aalst campus Geraardsbergen
ASZ Aalst campus Wetteren
AZ ALMA - Eeklo
AZ ALMA – campus Sijsele
AZ Glorieux
AZ Jan Palfijn Site Watersportlaan
AZ Lokeren
AZ Maria Middelares campus Maria Middelares
AZ Nikolaas campus Beveren
AZ Nikolaas campus Hamme
AZ Nikolaas campus Sint-Gillis
AZ Nikolaas campus St.-Niklaas
AZ Nikolaas campus Temse
AZ Oudenaarde
AZ Sint-Lucas - campus Sint-Lucas
AZ Sint-Lucas - campus Volkskliniek
AZ St.-Blasius campus Dendermonde
AZ St.-Blasius campus Zele - polikliniek
AZ St.-Blasius campus Zele Sp-revalidatie
Caritas psychiatrisch ziekenhuis
OLV Ziekenhuis campus Aalst
OLV Ziekenhuis campus Ninove
Provinciaal Zorgcentrum Lemberge APB
Psych. centrum Dr. Guislain
Psych. centrum Dr. Guislain - campus De Deyne
Psych. centrum Dr. Guislain - campus DR. Guislain
Psych. centrum Dr. Guislain - campus St.- Alfons
Psych. centrum St. Jan Baptist
Psychiatrisch centra Sleidingen
Psychiatrisch Centrum Sint-Hieronymus
Psychiatrisch ziekenhuis ST-Franciscus
ST-Camillus psychiatrisch ziekenhuis
ST-Vincentiusziekenhuis Deinze
St. Jan psychiatrisch centrum
St. Lucia psychiatrisch ziekenhuis
UZ Gent
Zoete nood Gods psychiatrisch ziekenhuis
Hospital
*
Hospital
AZ Diest - campus Hasseltsestraat
AZ Diest - campus Statiestraat
AZ Jan Portaels
Broeders Alexianen psychiatrische kliniek
Heilig Hart Regionaal Ziekenhuis Leuven
Heilig Hart Tienen campus Mariëndal
Heilig Hart Tienen campus Sint Jan
Heilig Hart Tienen Medisch Centrum Aarschot
Nakuurhome Papiermoleke
Nationaal Multiple Sclerose Centrum
OLV Ziekenhuis campus Asse
Psycho-sociaal centrum
Regionaal Ziekenhuis Sint-Maria
St. Alexius psychiatrische kliniek
St. Kamillus psychiatrisch centrum
St.-Annendael psychiatrische kliniek
Universitair Psychiatrisch Centrum KU Leuven
UZ Leuven campus Gasthuisberg
UZ Leuven campus Pellenberg
UZ Leuven campus Sint-André
UZ Leuven campus St. Pieter
UZ Leuven campus St. Rafael
Ziekenhuis Inkendaal
Hospital
*
Hospital
C.H.U. Ambroise Paré
Centre de Santé des Fagnes
Centre Hospitalier Universitaire de Tivoli
Centre Psychiatrique ST-Bernard
Centre psychoterapique de Jour
Ch de Mouscron
CH de Wallonie Picarde - Site Dorcas
CH de Wallonie Picarde - Site IMC
CH de Wallonie Picarde - Site Notre Dame
CH de Wallonie Picarde - Site Peruwelz
CH de Wallonie Picarde - Site Union
CH Jolimont - Lobbes Site Jolimont
CH Jolimont - Lobbes Site Lobbes
CHR Haute Senne Site St.-Vincent
CHR Haute Senne Site Tilleriau
CHR Site clinique Saint Joseph
CHR Site hôpital de Warquignies
CHU Charleroi hôpital André Vésale
CHU Charleroi Hôpital Civil Marie Curie
CHU Charleroi Hôpital Léon Neuens
CHU Charleroi hôpital Léonard de Vinci
CHU Charleroi Hôpital Van Gogh
Clinique Neuro-Psychiatrique De Bon Secours
Clinique Notre-Dame de Grâce Gosselies
EpiCURA Site Ath
EpiCURA Site Baudour
EpiCURA Site Beloeil
EpiCURA Site Frameries
EpiCURA Site Hornu
Grand hôpital de Charleroi - IMTR
Grand hôpital de Charleroi - Notre Dame
Grand hôpital de Charleroi - Sainte Therese
Grand hôpital de Charleroi - St. Joseph
Hôpital psychiatrique 'Chène aux Haies'
Hôpital psychiatrique 'Saint-Jean-de-Dieu
Hopital psychiatrique st-charles
Hôpital, psychiatrique 'Les Maronniers'
Hospital
*
Hospital
C.H. Peltzer-La Tourelle - Site La Tourelle
C.H. Peltzer-La Tourelle - Site Peltzer
C.H.R. de Huy
C.H.S. Clinique Notre-Dame des Anges
Centre de soins Saint-Joseph
Centre Neurologique et de Réadaptation
CH du bois de l'abbaye Site Seraing
CH du bois de l'abbaye Site Waremme
CHC clinique de l'Espérance
CHC clinique Notre Dame d'Hermalle
CHC clinique Notre Dame de Waremme
CHC clinique Saint - Joseph
CHC clinique Saint - Vincent
CHC clinique Sainte - Elisabeth
CHR Citadelle Site Château rouge
CHR Citadelle Site Sainte Rosalie
CHR de la citadelle Site Citadelle
CHU De Liège Site Notre Dame de Bruyères
CHU De Liège Site Ourthe - Ambleve
CHU De Liège Site Sart Tilman
Clinique André Renard
Clinique du Montlégia
Clinique Reine Astrid
Frères Alexiens clinique psychiatrique
Hôpital de jour 'La Clé'
Institut Psychiatrique Provincial
ISOSL - Site Agora
ISOSL - Site Petit Bourgogne
ISOSL - Site Valdor
Klinik St Josef VOG
ST-Nikolaus Hospital
Hospital
*
Hospital
AZ Vesalius campus Bilzen
AZ Vesalius campus Tongeren
JESSA Ziekenhuis - campus Salvator
JESSA Ziekenhuis - campus Sint-Ursula
JESSA Ziekenhuis - campus Virga Jesse
Kinderpsychiatrisch centrum Genk (KPC)
Maria ziekenhuis Noord - Limburg
Medisch centrum St.-Jozef VZW
MS & Revalidatiecentrum
Openbaar Psychiatrisch Ziekenhuis
Psychiatrisch ziekenhuis Asster campus Stad
Sint-Trudo Ziekenhuis
VZW Sint-Franciskusziekenhuis
Ziekenhuis Maas en Kempen campus Maaseik
Ziekenhuis Oost- Limburg campus A. Dumont
Ziekenhuis Oost- Limburg campus St. Barbara
Ziekenhuis Oost- Limburg campus St. Jan
Hospital
*
Hospital
VIVALIA - Hôpital psychiatrique 'La Clairière'
VIVALIA Centre Hospitalier de l'Ardenne
VIVALIA Cliniques Sud Luxembourg Site Arlon
VIVALIA Cliniques Sud Luxembourg Site Saint-Mard
VIVALIA IFAC Site Bastogne
VIVALIA IFAC Site Marche
Hospital
*
Hospital
Centre Hospitalier de Dinant
Centre Hospitalier Régional de Namur
Centre Hospitalier Régional du Val de Sambre
Centre Neuropsychiatrique St-Martin
Centre psychiaterique infantils 'Les Goelands'
Clinique & Maternité Sainte-Elisabeth
Clinique Saint-Luc
Cliniques Universitaires de Mont Godinne
Foyer Saint-Francois
Institut psychiatrique du beau vallon
Hospital
*
Hospital
Centre William Lennox
CH de Tubize - Nivelles site Nivelles
CH de Tubize - Nivelles site Tubize
CHIREC - Hôpital de Braine - L'Alleud
Clinique ST-Pierre
Institut 'Les Feux Follets'
La Petite Maison
Le Domaine
SILVA medical - Clinique de bois de la Pierre
SILVA medical - Clinique de la forêt de Soignes
Hospital
*
Hospital
AZ Damiaan
AZ Delta - campus Brugsesteenweg Roeselare
AZ Delta - campus Menen
AZ Delta - Campus Rembert Torhout
AZ Delta - Campus Rumbeke
AZ Groeninge campus Kennedylaan
AZ Groeninge campus Loofstraat
AZ Groeninge campus Reepkaai
AZ Groeninge campus Vercruysselaan
AZ Sint - Jan campus Henri Serruys
AZ Sint - Jan campus Sint-Franciscus - Xav.
AZ Sint-Jan campus Sint-Jan
AZ Sint-Lucas Brugge
AZ West (St-Augustinus)
AZ ZENO campus Blankenberge
AZ ZENO campus Knokke-Heist
Belgisch Zee-instituut voor Orthopedie
Jan Ypermanziekenhuis campus Poperinge
Jan Ypermanziekenhuis campus Wervik
Jan Ypermanziekenhuis Ieper
Koningin Elisabeth Instituut
O.L.V. van Lourdes Ziekenhuis Waregem
Psychiatrisch centrum Heilig Hart
Psychiatrisch Centrum Menen
Psychiatrische kliniek Onze Lieve Vrouw - Brugge
Psycho - Therapeutisch centrum Rustenburg
PZ H. Familie
Sint-Jozefskliniek campus Sint-Jozef
ST-Andriesziekenhuis
ST-Jozef Neuro-Psyschiatrische Kliniek
St. Amandus psychiatrisch centrum
Reason for admission
Reason for the admission (diagnosis/treatment)
*
Reason for the admission (diagnosis/treatment)
24 hour EEG
Abdominal pregnancy
Abdominoplasty
Aclasta Baxter
Acute intoxication
Acute leukemia
Adenotomy
Adnexectomy
AIDS
Airway diseases - general
Allergic reaction wasp sting
Allergie test
Allergy
Allogeneic stem cell transplantation
Alzheimer
Amniocentesis
Anaemia - general
Anal abscess/fissure
Aneurysm
Angina pectoris
Angiography
Angioplasty
Ankle arthroscopy
Anxiety disorder
Apicoectomy
Appendectomy
Appendicitis
Arm fracture
Arm, hand and shoulder surgery
Arteriosclerosis
Artery stenosis
Arthrodesis
Arthroscopy
Asthma
Atrial fibrillation
Autologous stem cell transplant
Back pain
Back surgery
Bacterial meningitis
Balance disorder
Balloon angioplasty
Baxter cancer
Baxter chronic fatigue syndrome
Baxter Entyvio (Crohn)
Baxter Magnesium
Baxter MS
Baxter Remicade
Baxter rheumatism, arthritis, polyarthritis
Bechterew's disease
Benign tumours, general
Bipolar disorder
Birthmark removal
Bladder biopsy
Bladder cancer
Bladder infection
Bladder polyps removal
Bladder prolapse
Bladder washout
Blepharoplasty
Blocked tear duct
Blood cell and coagulation disorder
Blood clot
Blood poisoning
Blood test
Blood transfusion
Bloodletting
Bone cancer
Bone marrow puncture
Bone marrow transplant
Bone scan
Bowel cancer
Bowel infarction
Bowel obstruction
Bowel resection
Bowel study
Bowel surgery
Brain scan
Brain tumor
Breast cancer (chemo)
Breast cancer (mastectomy and reconstruction)
Breast cancer (tests)
Breast cancer (tumorectomy)
Breast enlargement
Breast reduction
Breathing problems
Broken ankle
Broken arm
Broken back
Broken clavicle
Broken elbow
Broken finger
Broken foot
Broken leg
Broken neck
Broken shoulder
Broken toe
Broken wrist
Bronchiolitis
Bronchitis
Bronchoscopy
Brucellosis
Burn out
Caesarean section
Cancer of the female reproductive organs
Cancer of the male reproductive organs
Cancer tests
Carbon monoxide (CO) poisoning
Cardiac arrest
Cardiac arrhythmia
Cardiac catheterization
Cardiac decompensation
Cardiac diseases - general
Cardiac examination
Cardiac surgery
Cardiology
Cardiomyopathy
Cardioversion
Carpal tunnel syndrome
Cataract surgery
Cerebral infarction
Cerebral thrombosis
Cervical cancer
Cervical cerclage
Cervical conisation
Cervical conization
Cervical dysplasia
Cervical epidural infiltration
Cervical fracture
Cervical fusion (back operation)
Cervical fusion (neck operation)
Cervical hernia
Cervical infiltration
Cervical prosthesis (back surgery)
Cervical prosthesis (neck surgery)
CFS
Chalazion
Chemo treatment
Chemotherapy
Chickenpox
Childbirth
Cholecystectomy
Cholecystitis
Cholera
Chronic bowel disease infusion
Chronic fatigue Syndrome (C.F.S.)
Chronic fatigue syndrome infusions
Chronic pulmonary disease
CIDP treatment
Circumcision
Claudication
Cochlear implant
Colonoscopy
Colonscopie
Colorectal cancer
Coloscopy
Combination therapy
Concussion
Condyloma
Cone biopsy
Conisation
Conization of the cervix
Convulsions
COPD
Corneal grafting
Corneal transplantation
Coronary artery bypass surgery
Coronary artery test
Coronary catheterization
Cot death test
Covid 19
CPAP titration study
Crohn's disease
CT scan
Curettage
Curietherapy
CVA
Cyst extraction
Cystitis
Cystoscopy
Cystostomy
De Quervain
Dehydration
Dementia
Dental abscess
Dental care - general
Dental implant placement
Depression
Deviated Septum Correction
Diabetes
Diarrhea, dehydration
Diphtheria
Discectomy
Disease of the bladder and urinary tracts
Diseases of the blood, blood-forming organs - general
Diseases of the female reproductive organs - general
Diseases of the penis
Diverticulitis
Dupuytren
Dysentery
Ear correction
Ear disorders (internal)
Ear grommet insertion
Ear treatments - general
Eardrum operation
Ectopic pregnancy
Elbow fracture
Elbow surgery
Electroencephalogram
Electrophysiology study
Endometrial polyps removal
Endometriosis
Entyvio administration (Crohn's disease)
Entyvio treatment (ulcerative colitis)
Epidural infiltration
Epigastric hernia
Epigastric pain
Epilepsy
Epileptic seizure
Erysipelas
Excision parotid gland
Excision teeth
Extracorporeal Shock Wave Therapy (ESWT)
Extraction of wisdom teeth
Extrauterine pregnancy
Eye diseases/eye disorders
Eye stroke
Eyelid correction
Facet joint injection
FESS
Fever general
Fibromyalgia
Fibromyalgia infusion
Fistula (kidney)
Fistula surgery
Flu (Influenza)
Flushing port-a-cath
Follow up oncology
Food poisoning
Foot fracture
Foot surgery
Fracture of the lower limbs
Fracture of the upper limbs
Fracture reduction and fixation
Frenulotomy (foreskin)
Frenulotomy (tongue)
Fungal infections
Gall bladder infection
Gallbladder and biliary tracts diseases
Gallbladder removal
Gallstone
Gastric balloon
Gastric band
Gastric Bypass
Gastric hemorrhage
Gastro- and colonoscopy
Gastrocoloscopy
Gastroenteritis
Gastrointestinal diseases - general
Gastrointestinal examination
Gastroscopy (stomach)
General rehabilitation
General weakening
Glaucoma
Glossitis
Grommet removal
Gum disease
Gynecomastia
Haematology
Haematuria
Haemorrhage (gynecologic)
Haemorrhoids
Hallux rigidus
Hallux valgus
Hammer toe
Hand surgery
Headache
Heart and artery tests
Heart attack
Heart Bypass surgery
Heart complaints
Heart failure
Heart problems
Heart surgery
Heart surgery - general
Heart transplantation
Hemicolectomy
Hemorrhoidectomy
Hemorrhoids treatment
Hepatitis A
Hepatitis B
Hepatitis C
Herceptin
Herniated disc
Hiatal hernia
Hiatus hernia
High blood pressure
High fever
Hip arthroscopy
Hip fracture
Hip prosthesis
Hip surgery
HIV
HIV positive
Hormone therapy
Hydrocele
Hypertension diseases
Hypospadias
Hysterectomy
Hysteroscopy
Imaging
Immune system diseases - general
Immune system infusion
Immunoglobulin therapy
Immunotherapy
Implantable cardioverter-defibrillator
In Vitro fertilisation
Incontinence surgery
Infarction and bleeding - general
Infiltration Neck/Back
Inflammation of the appendix
Influenza
Infusion Crohn's disease
Ingrown nail
Inguinal hernia
Injury of the lower limbs
Injury of the upper limbs
Insertion of tympanostomy tubes
Internal ear diseases - general
Internal eye diseases - general
Intestinal hemorrhage
Intra articular infiltration
Intracranial hemorrhage
Iron deficiency infusion
IVF
IVF pick up
Jaundice
Jaw osteotomy
Jaw position correction
Joint injection
Kahlers disease
Keratotomy
Kidney and urinary tract cancer
Kidney cancer
Kidney dialysis
Kidney disease - general
Kidney failure
Kidney infection
Kidney stones
Kidney study
Kidney surgery
Kidney transplant
Knee arthroscopy
Knee fracture
Knee osteotomy
Knee prosthesis
Knee surgery
Knee, hip and foot surgery
Lactose tolerance test
Laminectomy
Laparoscopy
Laser treatment of the eye
LEEP conization
Leg fracture
Leukaemia and lymphoma
Lipoma
Liver diseases
Liver transplant
Low blood pressure
Lung biopsy
Lung cancer
Lung puncture
Lung surgery
Lung transplant
Lyme disease
Lymphoma
Macular degeneration
Magnesium baxter
Magnesiumbaxter fibromyalgia
Malaria
Meningitis
Meniscus
Migraine
Miscarriage
Monitoring baby
Mononucleosis
Mouth and throat treatment and test - general
MRI
MS/Multiple Sclerosis
Multiple myeloma
Muscle disorders - general
Myelodysplasia
Myelodysplastic syndrome
Myocardial infarction
Narcodontics
Nasal polyp
Nasal septum deviation
Nasal treatments - general
Nausea, vomiting
Neck and back problems - general
Neck/Back injection
Neurological examination
Nipple reconstruction
Observation (Heart)
Observation (Lungs)
Observation (Neonatology)
Observation (Other)
Observation (Psychiatry)
Oncology day clinic
Orchidopexy
Osteosynthetic material
Otitis
Otoplasty
Ovarian cyst removal
Ovarian pregnancy
Ovariectomy
Ovaries and Fallopian tubes
Ovary removal
Pacemaker
Pain clinic
Palpitation of the heart
Pancreatic cancer
Pancreatitis
Panic disorder
Parkinsons disease
Parotidectomy
Pericarditis
Peridural infiltration
PET scan
pH metry
Pharyngitis
Phimosis
Placing an IUD
Plaster room
Pneumonia
Pneumothorax
Polyps and ear grommets
Polysomnogram
Polysomnography
Port-a-cath
Port-a-cath removal
Pregnancy complications
Pregnancy observation
Premature birth
Preterm
Preventive breast amputation
Prostate biopsy
Prostate cancer
Prostate diseases
Prostate removal
Prostate study
Prostate treatment
Prostatectomy
Prostatic hyperplasia
Prostatitis
Psychic decompensation
Psychological disorders - general
Pull / remove wisdom teeth
Pulmonary embolism
Pulmonary function testing
Pulmonary infection
Pulmonary oedema
Pulmonary surgery
Pulmonary tests
Pyelonephritis
Radiation
Radiation tumor
Radiofrequency ablation
Radiofrequency facet denervation
Radiotherapy
Reduction mammoplasty
Reflux
Refractive laser surgery
Rehabilitation after prosthesis hip
Rehabilitation after prosthesis knee
Release trigger finger
Remicade baxter
Remicade infusion rheumatism
Removal of the tonsils
Removal plate/pin/screw
Remove colon polyps
Remove cyst (skin, limbs)
Remove cyst (tooth)
Remove gall bladder
Remove intestinal polyps
Remove port catheter
Remove uterus
Removing an IUD
Removing an ovarian cyst
Renal colic
Renal crisis
Renal insufficiency
Renal treatments
Repair abdominal hernia
Repair inguinal hernia
Repair umbilical hernia
Respiratory arrest
Respiratory problems
Respiratory system cancer
Retinal detachment
Retinal detachment repair
Retinal tear
Rhinoplasty
Rotator cuff repair
RSV
Ruptured tendon
Salivary stone
Salmonella
Scar correction
Sepsis
Septoplasty
Shortness of breath
Shoulder arthroscopy
Shoulder fracture
Shoulder surgery
Sinus lift
Sinus surgery
Sinusitis
Skin cancer (general)
Skin cancer (melanoma)
Skin grafting
Sleep endoscopy
Sleep study
Sleep study CPAP
Sleeve gastrectomy
Stem cell collection
Stem cell transplantation
Stem cell transplantation (follow up)
Stent placement
Sterilisation (female)
Sterilisation (male)
Stomach ache
Stomach study
Stomach ulcer
Stomatitis
Strabismus
Stress incontinence
Stroke
Study of the bladder and urinary tracts
Study of the uterus, ovaries, adnexa
Suicide attempt
Syncope
Tachycardia
Tendon and bursa disorders - general
Tendon repair surgery
Tennis elbow
Testicular diseases
Testicular treatment
Tetanus
Thumb Prosthesis
Thyroid gland
TIA (stroke)
Toe surgery
Tongue-tie release
Tonsil surgery
Tonsillectomy
Tonsillitis
Tooth extractions
Tooth osteotomy
Tooth prosthesis and jaw construction
Toothache - general
TOT bladder
Toxoplasmosis
Transtympanic drains
Travelers' diarrhea
Treat / remove fibroma prostate
Treatment / removal of fibroma (general)
Treatment Bechterew's disease
Treatment leukemia
Treatment MDS
Treatment of benign tumors
Treatment of internal eye diseases
Treatment of ovaries and adnexa
Treatment of protruding ears
Treatment of the bladder and urinary tracts
Trigger finger
Tubal pregnancy
Tummy tuck
Tumour resection
Turista
TURP
TVT
Typhoid fever
Tysabri infusion (MS)
Ulcerative colitis
Ureter stones
Ureteroscopy
Urinary catheter removal
Urinary tract infection
Uterine fibroids
Uterine fibroids removal
Uterus removal
Uterus treatments
Uvulopalatoplasty
Valve malformation
Valve replacement
Varicose vein excision (legs)
Varicose vein excision (oesophagus)
Varicose veins (legs)
Varicose veins (oesophagus)
Variola
Varix (legs)
Vascular diseases - general
Vasectomy
Vein stripping
Vertebral subluxation
Vertigo and balance
Vessel surgery
Viral meningitis
Vitrectomy
Vulvo- and vaginoplasty
Whooping cough
Wisdom teeth removal
Withdrawal
Worm disease
Wrist fracture
Wrist surgery
Zometa
Not found in the list ? Please describe the admission reason as detailed as possible below.
Additional info (diagnosis/treatment)
*
Accident
Is the hospitalisation the result of a fall or an accident? (private accident, school accident, work related accident, sports accident, ...)
*
Yes
No
Date of the accident
*
Date Format: DD slash MM slash YYYY
Hour of the accident
*
Where did the accident happen?
*
How did the accident happen?
*
Is it a work related accident?
*
Yes
No
Has an official report been drawn up?
*
Yes
No
By whom?
Is a third party involved?
*
Yes
Yes, but unknown
No / not applicable
Name of the third party
*
First name
Last name
Address of the third party
Street name + number (+ box)
Postal code
City
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
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