Contact me now for information or an intake session

Email me at info@headandheartwork.nl or use the contact form below. Our correspondence is confidential, so please don’t use your work email address. In addition to your name and private email address, please provide your private phone number, so that I can call you to schedule an initial appointment. If I can’t reach you, my email reply will include all my availability in the next few weeks.

Download the relevant form:

intake form for individual therapy & counseling

intake form for couple relationship therapy & counseling

Fully complete the form, then send it in editable docx format (not pdf or pages, please) to: info@headandheartwork.nl

– Clearly describe in relevant detail the problems currently troubling you, as well as the concise history of how they arose.
– Clearly define positive, specific and realistic goals: the desired emotional state, mindset and behaviour.

Concerned about security? Email me the completed form in password-protected format and text the password to +31640475088.

No waiting list

We can schedule a daytime or evening intake session within a week or two to get to know each other, establish a ‘click’ and clarify the core problem(s) and goal(s) for the therapy. If you have more than one problem, we will set priorities. We will also discuss whether your goals are realistic and the steps to take to reach them. Then the head and heart work can begin.

If another therapist or a specialist would be more suitable, I will refer you to a qualified and experienced professional in the region.

Affiliation and complaints procedure

My practice is affiliated with the Dutch Healthcare Federation, the NFG (Nederlandse Federatie Gezondheidszorg), an independent organisation that represents the interests of professionals who work in the complementary psycho-social care sector. The NFG monitors the quality of the care that affiliated professionals provide and ensures that their practice meets all relevant legal obligations.

I do my utmost to guide all clients as professionally and effectively as possible. However, it may happen that you are dissatisfied or have a complaint about some aspect of the guidance. If so, I invite you to discuss your dissatisfaction with me first. In most cases, we can come to a mutually satisfactory solution in conversation. Your feedback is valuable and helps me to improve my work with clients. If we are unable to reach a satisfactory solution, or if you feel uncomfortable discussing this matter with me, you can contact the NFG’s independent contact person for complaint handling. Read more about this here: Not satisfied with your care provider? | de-nfg.nl (in Dutch).

NFG logo

registration no. 10229

address:

Mgr. v.d. Weteringstraat 14a
3581EH Utrecht, Netherlands

e-mail:

info@headandheartwork.nl

phone:

+31640475088 (mobile)

contact hours:

10:00 – 19:00  Monday to Thursday

Contact form

NB: Only to be used by potential clients for therapy, counseling or coaching.
All messages offering products or services will be ignored.
All information obtained through this form is processed in full accordance with the provisions of the EU General Data Protection Regulation (GDPR).
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