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Select your appointment - Sibylle Malphettes

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* Type of appointment:

Adult

Teenager 17+ years

Hypnosis

Coaching

Online consultation

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Mon	Tue	Wed	Thu	Fri	Sat	Sun

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* Civility

* Name:

* First name:

* Last name:

* First Name:

* Child's civility:

* Date of birth:

* First name partner:

* Name partner:

family composition

* Name:

* First name:

Name:

First name:

Name:

First 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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