Registration form

Clients can only register for treatment by completing the registration form below.

We aim to see everyone within two weeks. This is possible anyway for online treatments (Skype / Facetime). If you want to use an online treatment, you can indicate this in the explanation on the registration form.

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.

Applications are processed three times a week by the secretary. After processing your registration, you will be contacted by telephone or e-mail.

Registration form

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 then choose 'secretary' who will then contact you.
  • Dit veld is bedoeld voor validatiedoeleinden en moet niet worden gewijzigd.