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Online therapy

Praktijk Rozendaal-Doest

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Welcome! You are going to start treatment at Practice Rozendaal-Doest.

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Step 1. ​Complete the treatment agreement and sign the form. If you do not want your health insurer to receive diagnosis information, you can object by also completing a privacy declaration. The treatment agreement is required, the privacy declaration is optional.

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Step 2. Upload the documents via the form below*. ​

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*Uploading documents is not possible via your mobile phone, only via a laptop or tablet.

Treatment agreement & Privacy declaration
Document uploaden
Ondersteund bestand uploaden (max. 15 MB)
Document uploaden
Ondersteund bestand uploaden (max. 15 MB)

Thank you!

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