Welcome to Botman dental practice

Anamnesis form

We are obliged to ask you a number of questions about your health and medical history in advance. Via this button you can easily fill in the form digitally, this only takes a few minutes.
Please fill in this form prior to your first appointment.

To complete your file we only need the dental data of your previous dentist. Due to privacy legislation we are not allowed to request this information from your former dentist. Therefore, prior to your appointment, please ask your previous dentist to transfer your file to us via secure mail to botmantandartsen@zorgmail.nl.

We’re here for you

Contact information


Blerick@botmantandartsen.nlVan Boerlostraat 65923 AL Blerick

Telephone Blerick

+31 077-38 75 167


Venlo@botmantandartsen.nlEmmastraat 1245912CT Venlo

Telephone Venlo

+31 077-35 44 422

Need to make an appointment?

Please call +31 (0)77-38 75 167!