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Online therapy

Practice Rozendaal-Doest

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

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​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 statement. 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.

Behandelovereenkomst & Privacyverklaring
Document uploaden
Ondersteund bestand uploaden (max. 15 MB)
Document uploaden
Ondersteund bestand uploaden (max. 15 MB)

Bedankt! We hebben gauw contact.

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