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Wilhelmina Kinderziekenhuis

CARE Cohort

CARE COHORT

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Department	CARE COHORT
Hospital	Wilhelmina Kinderziekenhuis
First two letters of your first name and the first two letters of your last name (without spaces).
Your e-mail address
Date of birth	dd-mm-yyyy
Gender	Male Female Other
Terms	I agree with the terms and conditions of KLIK
Patient number	Please fill in your patient number at the hospital. If you don't know this number you can leave it blank.