intake form

Of course we will work together to see what can be changed. But I would first like to ask you to fill in this form (in advance). This way I get an idea of you and your complaints and I can prepare for the first consultation. We will discuss this further during the first consultation.

Then I would like to refer you to the privacy policy. In practice I naturally handle your data securely, here you can read exactly how and our general terms and conditions . You will be asked if you agree with this on the intake form .

Click below to go to the intake form.

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