Request Intake Interview

You can register by sending us the completed form, located on the left. Upon receipt, we will contact you to schedule a personal intake interview. Please take a look at our current waiting times.

During the interview, we will examine whether our programme is suitable for the problem(s) you and your child currently experience. It is important to bring the following documents along (without them, the intake cannot take place):

  • Valid ID Card/passport of participant
  • Previous medical/psychological/other reports
  • List of medication from pharmacy
  • Medical ID Card or health insurance policy

If you have any additional questions, our Case Management is ready to assist you Monday to Friday from 9:00 a.m. to 10:00 p.m. and on Saturday and Sunday from 10:00 a.m. to 4:00 p.m. (GMT +1) via phone number: +31 (0)85 02 01 222

All your questions, registration documents and personal information will always be dealt with in a confidential manner and with the utmost care.

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