Apply for funding for your treatment

Are you considering laser eye surgery or lens replacement at VISUS Eye Clinic? Then you can apply for financing with Van Lent & Partners and pay for the treatment in instalments.

How does this work? You fill in the application on our site, which we will forward to Van Lent and Partners. Based on the information you provide, they will let you know within 24 hours if you are eligible for financing. If you qualify, you still need to submit supporting documents to Van Lent en Partners, they will contact you about this.

Click for more information: www.vanlentenpartners.nl

Application form

- Name*
- First initials*
- Street*
- Postal code*
- Residence*
- Email address
- Phone number*
- Married / living together
- Date of birth*
  
  DD
  MM
  YYYY
- Nationality*
- BSN number*
- Iban bank account number*
Financial Position
- House Rent
- Gross Mortgage
- Since when residing
- Profession and employer
- Gross income per month
- Since when employed
  
  DD
  MM
  YYYY
- Undetermined employment relationship
- Desired loan amount
- Other current loan
- Children under 18

Apply for funding for your treatment

Application form

Financial Position

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Apply for funding for your treatment

Application form

Financial Position

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