Registration package and forms

Registration package

referral letter Criteria referral letter GP

2022_Criteria_verwijsbrief_huisarts

the admission form, permission form, treatment agreement, general and billing conditions, and developmental history will be send to you on request by a secured e-mail (Zivver) that you can return to us with your uploaded filled out forms. So call us first in order to register.

general and billing conditions 2022_Behandelingsovereenkomst_algemene_en_betalingsvoorwaarden_iMindU-1

2022_Treatment_agreement_terms_and_conditions_and_payment_agreement_iMindU-2

privacy statement Privacystatement-iMindU English

2022_NL_Privacy_statement

permission form Permission form iMindU

 

Opt-out letter

2021_OPT-OUT_Standaardbrief_client_voor_zorgverzekeraar

Informed consent

informed consent to treatment Informed consent to treatment at iMindU

Compliments and complaints

compliments and complaints procedure Compliments-and-complaints-procedure

compliments and complaints form Compliments and complaints form

Patient satisfaction

Klachtenportaal Zorg – youth 2022-Klachtenreglement-Jeugdwet-KPZ-
Wkkgz – adults NVVP – Regeling voor de behandeling van klachten van cliënten
patient satisfaction sheet Patient satisfaction sheet