Form with request for individual counseling.

This form completely protects your privacy.
Read the full description of how it works here:

With a holistic focus on restoring your health, in private meetings we create a safe environment with an approach to the person and not the disease. Together we try to find the right solution for you.

The form thus composed is intended to let me know who I will have the opportunity to meet with and how to structure an accompaniment specifically for your person.

If you would like to elaborate on your needs or add additional information, please feel free* to fill out item nº11.

Once you fill out the individual session request form, you will be contacted* within 24/48 hours to agree on working arrangements and fees.