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Sign up for an appointment

You may use the online signup form below to apply for an appointment. You will receive a return reply within 24 hours by email or telephone.
A referral from the GP is required to be eligible for insurance reimbursement.
Please have your insurance card and a copy of a valid ID on hand for your first appointment.

Signup form

Have you been referred digitally via the GP practice practitioner (POH GGZ) or via the GP?
If the answer to the previous question is no, are you in possession of a referral from the general practitioner?
Give below a short description of the complaints for which you are looking for help. May contain a maximum of 750 characters.
Preferred location: If you indicate 'no preference', an appointment can usually be made more quickly.
Selection Days: Indicate which days you are NOT available.
Do you give consent to the processing of your data for the benefit of your treatment based on the privacy and protection of personal data legislation? More information can be found in our Privacy Policy.