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Select your appointment - Elisavet Lada

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* Type of appointment:

Adult 23 years and above (60 minutes)

Young adult 20 - 22 years (60 minutes)

Young senior 60 - 69 years (60 minutes)

Senior 70 years and above (60 minutes)

Gestalt Therapy (60 minutes)

* Place of consultation :

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* First name:

* Last name:

* First Name:

* Child's civility:

* Date of birth:

* First name partner:

* Name partner:

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Name:

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I certify that the data provided are correct and I agree to notify the therapist at the latest 48 hours before the appointment if I will not be present. Otherwise the consultation will be due.

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