Registration form

Clients can only register for treatment by completing the registration form below. Referrers can fill in the registration form together with their client.

The waiting list is currently approximately 8/10 weeks. Merith Cohen de Lara doesn’t take new clients. The waiting list for an online treatment is 1/2 weeks. There is no waiting list for an online or a group treatment.
A number of psychologists from Prezens/InGeest and Arkin Basic GGZ have recently taken a course with Merith Cohen de Lara and they had no waiting list. Perhaps they can see you earlier:
– Prezens/InGeest:
– Arkin Basis GGZ:

Applications are processed three times a week. After processing your application, you will be contacted by telephone or e-mail. For urgent questions, please send an email to

Contract-free psychologists often do not have a waiting list at all. At least half of the basic mental health care is generally reimbursed, regardless of what policy you have. Read more about rates and Insurers >>.

Please use this form to register with one of our therapists. Fill in the form as completely as possible. The fields marked with an asterisk are obligatory.
  • Choose your therapist from the list. If you have no preference choose 'Secretary'. You will then be assigned to the first available therapist.
  • This field is for validation purposes and should be left unchanged.