Formulier afspraak afzeggen

Via het onderstaande formulier is het mogelijk uw afspraak af te zeggen.


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[{"id":"921","field_id":"1331","field_value_id":null,"type":"value","comparison_type":"validation","comparison_id":"0","comparison_validation":"email","comparison_value":null,"target_type":"error","target_id":null,"error":"Dit is geen geldig e-mailadres."}]
[{"id":"917","field_id":"1328","field_value_id":null,"type":"value","comparison_type":"validation","comparison_id":"0","comparison_validation":"mandatory","comparison_value":null,"target_type":"error","target_id":null,"error":"Dit veld is verplicht."}]
[{"id":"920","field_id":"1329","field_value_id":null,"type":"value","comparison_type":"validation","comparison_id":"0","comparison_validation":"mandatory","comparison_value":null,"target_type":"error","target_id":null,"error":"Dit veld is verplicht."}]

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