Please contact us Contact details info[at]dfineclinic.nl Rozengracht 13 1016LP Amsterdam IBAN: NL49INGB0007690753 Contact formMake an appointmentContact formMake an appointmentContact formContact form ** **AVG* When you use this form, you agree with the privacy statement, storage and processing of your data by this website. CAPTCHA This iframe contains the logic required to handle Ajax powered Gravity Forms. Make an appointmentMake an appointment DFine Clinic is open from Tuesday to Friday. The application is not binding. We will contact you for a definitive appointment. row 1 col 1 startName* First Last E-mail address* Telephone number*ResidenceAppointment formAppointment formTreatmentIntakerow 1 col 1 endrow 1 col 2 startTreatment*TreatmentFree IntakeCosmetic Permanent-Make-upMedical Permanent-Make-upBindweefselmassageMicroneedlingHave you been treated before?Have you been treated before?YesNoDate TimeTime10:0010:3011:0011:3012:0012:3013:0013:3014:0014:3015:0015:3016:00Wishes*Please upload a photo of yourselfPlease upload a photo of yourself Drop files here or Accepted file types: jpg, jpeg, bmp, gif, png. row 1 col 2 endPrivacy* When you use this form, you agree with the privacy statement, storage and processing of your data by this website. This iframe contains the logic required to handle Ajax powered Gravity Forms.
