Page 1 of 1

Booking

Please complete the form below and click submit.
This form is intended to help me understand the overall context of your request. Please do not share sensitive or personal details here — we will have the opportunity to explore them safely during our sessions.

Name

Email

Please make sure you are able to receive mail through this account, as we will use it to book our first session.

Phone number

Type of support you are interested in?

What general topics would you like to focus on?

Feel free to share just a general overview. We will talk more in depth together, if we decide to proceed.

Is there anything else you would like me to be aware of before our session?

Preferred time and weekday for appointment (CET)

By submitting your information, you are giving us permission to email you.
By booking a session with Beatriz Melim, psychologist, you affirm your consent with the guidelines included in the informed consent form and terms and conditions.