Shiatsu Westerpark Amsterdam

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Use the contact form below to book a private Shiatsu Therapy treatment. You will receive a personal reply/confirmation, normally within 1-2 days.
For general enquiries, e-mail or call 020 - 686 89 67.

From 25 May 2016 a new European law relating to your privacy has been in force, called the General Ordinance for the protect of data (Algemene Verordening Gegevensbescherming - AVG). Please read this privacy form on my site prior to you arriving for your shiatsu. Before the commencement of your treatment you are legally required to sign this form. Therefore please let me know wel in advance if you do not wish to sign the form as in that case the treatment cannot take place. Click here for Treatment Agreement & Privacy Document [PDF]

MY CONTACT DETAILS

* Please fill in all these fields. I respect your privacy and abide by the rules of the Wet Bescherming Persoonsgegevens.

First Name: *
E-mail: *
Phone: *
Address: *
City / ZIP: *
How did you come into contact with Shiatsu Westerpark?

Select your required service(s) below and hit any "Submit" button:

SHIATSU THERAPY

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I want to make an appointment for a private Shiatsu treatment. *

* If this will be your FIRST appointment, please provide the following information:

Date of birth:
Health insurance:
Existing complaint:
Start complaint:
Medicine I use:

Other information about the complaint /
preferred appointment time:

Type the above number:

COMPLAINTS - WHAT TO DO

For the time being this information is only available in Dutch. Our apologies for any inconvenience.
Click here for the document [PDF]

DOMESTIC VIOLENCE & CHILD ABUSE

For the time being this information is only available in Dutch. Our apologies for any inconvenience.
Click here for the document [PDF]