self-registration

After submitting the registration form, we will contact you to arrange an appointment or to put you on a waiting list (depending on current capacity).
For questions regarding costs, see Services and FAQ

First name*

Last name*

address*

Geburtstag*

Month

Day

Year

Gender

masculine

female

divers

E-mail address*

Telephone number*

Please select the appropriate option:

I prefer my therapy online (video call or telephone).

I prefer to have my therapy on-site (Ohmstrasse 14, 8050 ZH).

I have received a doctor's order for psychotherapy.

I am a self-paying patient with supplementary insurance.

I am paying for it myself.

Bitte schildern Sie kurz Ihr Anliegen & falls Sie eine Anordnung erhalten haben, durch welchen Arzt:

I hereby confirm,...:*

that I will bear the costs incurred due to short-notice cancellation of an agreed appointment.

that I have read and understood the privacy policy.

+41 78 227 95 32

3rd floor | Ohmstrasse 14 | 8050 Zurich

EMERGENCY NUMBERS

PRIVACY POLICY

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