A good start
is a conversation.

Your first date is a paid intake. If ultrasound makes sense, it is included at no extra cost. The intake rate follows before opening.

Shockwave Clinics

Your request to Shockwave Clinics.

Use this form to request an appointment with Shockwave Clinics. Our team at Spine Clinics receives your request and will contact you to arrange an appointment. Your request is not yet a confirmed appointment.

All fields are required.

Name

Date of birth

Email address

Phone number

Address Street and house number, including possible addition.

Postcode For example 5406 NK.

Describe your symptoms Tell me briefly what's bothering you and how long this is going on. Don't share any BSN or medical documents here. Up to 2,000 characters.

We are checking whether online appointment requests are available.

You are sending a request for Shockwave Clinics. We will then arrange the appointment with you.