Booking a Session
Fill in the document at the bottom of the page. The document refers to your personal details and office policies. The documents need to be filled in , signed and send before the session to the following email: firstname.lastname@example.org
Call or email for availability
Pre-pay the amount of the session at least 2 days before the scheduled appointment. The invoice will be sent via e-mail after the session.
Fees & Payment Agreement
The fee is pre-paid 2 days before the actual appointment by deposit in following bank account.
Bank account details: NL50 ABNA 0454069464. Failure to do so the appointment will be cancelled.
Check with your healthcare insurance
If you wish for a refund from your insurance, I recommend that you consult your health insurance company regarding therapy refunds. Different insurance companies have different refund policies. Some offer a full refund or a maximum number of sessions. Unfortunately no refunds are granted in some cases.
Cancellation of changes of sessions can be done 24 hours in advance.
Policy regarding canceling appointments was developed to protect both therapist and client. When you schedule an appointment with the therapist, a time slot in his schedule is being reserved for you. Because it can be difficult to fill a time slot when an appointment has been canceled at last minute, you will be expected to provide at least 48 hours’ notice or you will be charged for the session time that had been reserved for you. In the case of sudden illness or an emergency that makes it impossible to provide 48 hours’ notice, the therapist will make a reasonable effort to reschedule the appointment for a later time within the next few days. In such cases, you will be billed only for the rescheduled appointment. The 48-hour notice requirement does not apply to the initial “intake” interview, to appointments that have been reserved for psychological assessment, or to instances in which the canceled meeting was to have been the second therapy session of that week.
To facilitate the openness that is a key facet of the psychotherapy relationship, the client must be able to trust that the information shared in the therapy session will be held in the strictest confidence. As such, I am ethically bound to protect the confidentiality of my patients. However, it is important to clarify that there are legal and ethical limits to the patient’s right to confidentiality. TBy law, I am compelled to breach confidentiality in cases in which a patient appears to present a physical danger to himself or to another person or in which a child or elderly adult has been abused or neglected.
Data Collection Form & General Conditions document