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Register

Please fill out the registration form attached at the bottom of this page!

Once we receive that and the referral letter, we will email you our “welcome info” Once you have completed it, you will be placed on our waiting list.

Our good reputation is a great gift, but results in us having a waiting list for individual treatments. It won’t take too long, around 2-6 weeks.

Application form

You can register with us using the secure form below.

Please note that in order to increase the chances of proper treatment in your and our interest, if in doubt we will contact you by phone as a pre-intake. For example, we are not the right place for frequent GHB and opiate use.

Quiting Smoking. The government in its infinite wisdom has decided that smoking cessation will only be reimbursed if performed by the general practitioner/first line. So you can only come to us for this if you also have another addiction. (alcohol?). In other cases we advise you to contact We Quit, they are very good!

  • Where would you like to follow the treatment?

Once the application form is completed and you’ve received the referral letter from your primary care physician or referring psychiatrist, we will discuss whether we think we are the right place for you. We will contact you within a week after we’ve received both so we can discuss the follow up. You will then be sent a treatment agreement via email. Anyone who fills it out quickly will be referred sooner!
Note: You have to make sure that the referral letter is sent to us.

Important to know: after a successful intake the treatment starts immediately. We match a client with a practitioner, because we think a good connection between you and us is important.

Kick your habits
today!

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Phone

9.00 – 17.00

Amsterdam & Utrecht: 020 – 737 0887

Groningen: 085 – 0477 234

Address

AMSTERDAM
Cornelis Krusemanstraat 75b
1075 NJ Amsterdam

UTRECHT
Maliesingel 55
3581 BR Utrecht

GRONINGEN
Kraneweg 87
9718 JL Groningen