Request TBC test

Naar de Nederlandse versie van deze pagina

Use the form below to make an appointment for a tuberculosis test

Fields with a (*) are mandatory

Reason for the appointment

You can choose "other" if 1 of the first 5 categories isn't applicable.

A reason for the test has not been chosen

Personal details

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You haven't filled in your last name
You haven't chosen your sex
You haven't filled in your email address
You haven't filled in your phone number
You haven't filled in your birth date
You haven't filled in your birth country
You haven't filled in your nationality
You haven't filled in a valid BSN

Your Burgerservicenummer (BSN) is your own personal number and consists of 9 numbers. Your BSN can be found on your Dutch driver's license, passport or ID card. If you are using a V-number, then please start with a V.

Your Burgerservicenummer (BSN) is your own personal number and consists of 9 numbers. Your BSN can be found on your Dutch driver's license, passport or ID card.

You haven't filled your date of arrival in The Netherlands. This date can't be in the future and the format is dd-mm-yyyy.

Your date of arrival in The Netherlands needs to be entered as dd-mm-yyyy (day, month, year) and can't be in the future.


Address details

You haven't filled in a street name
You haven't filled in your home number
You haven't filled a valid postal code
You haven't filled in a place of residence

Additional details check up MST

You haven't filled in your your function or education course
You haven't filled in when you start at MST
You haven't filled in the department of MST you will be working at
You haven't filled in how long you will be working at MST
You haven't filled in if you've had one of these vaccinations
You haven't filled in what vaccines you've received

Additional details for traveller screening

You haven't filled in what countries you will be visiting
You haven't filled in if you'll be working on location
You need to report your drug use
You haven't filled in your medical history
You haven't filled in if you've had one of these vaccinations
You haven't filled in what vaccines you've received

Additional details for BCG vaccination

You need to confirm the result of the heel prick
You need to fill in the result of the heel prick
You need to fill in if the pregnancy was shorter than 37 weeks
You need to fill in after how many weeks of pregnancy the child was born
You need to tell if the mother used any medications during pregnancy
You need to list the medications the mother used during pregnancy
You need to tell if there are any countries the child has been to or will go to
List the relevant countries
You need to fill in if your child uses any medication
You need to list the medications your child uses

Preferred day and comments

Do you have a preference for a specific day? Use the boxes below to choose that day. You can choose multiple days.
Mantouxtests (tuberculine skin tests) are only performed on Tuesday and Friday.


Preferred day and comments

Vaccinations for BCG are only done on Thursdays

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Costs

The chest x-ray for an IND screening test costs € 54,-. These costs need to be paid at the GGD. We prefer you pay by PIN. You can also pay with cash, but it needs to be exact € 54,-.

You need to agree to the text before you can submit the form

Submit and privacy

GGD Twente processes your personal details in a safe way, according to the applicable rules and laws. See: Privacy (Dutch) (opens new screen). We only use your personal data to process your application: to plan your appointment and register your vaccination.
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