Maria van Helbergen

Book a session with Maria van Helbergen

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Personal details

First name*

Last name*

Date of birth*

Phone number*

Email address*

How do you identify?*

Address

Reason for registration

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What do you hope to get out of the sessions?*

Previous therapy

Have you received therapy before?

Yes

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Emergency contact

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Consent

Cancellations

Need to cancel a session? Please let Maria know at least 24 hours in advance, so the slot can be used to help another client in need of support. Cancellations within 24 hours are charged at 50% of the session fee.

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