BMHC Patient Admission Form

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Colleagues or groups who can often welcome you within 14 days
Sherin Schurich · Individual Psychotherapy · 🇬🇧Marie-Garance Parmentier · Individual Psychotherapy · 🇫🇷 🇬🇧Caroline Watelet · Physiotherapy · Hypnosis · Relaxology · 🇫🇷 🇬🇧Group 🟠 Dynamic Interpersonal Therapy as of 18/11/2025 (English - 12 sessions)Group 🧘 Mindfulness Training as of 20/1/2026 (English - 8 sessions)
⏳ WAITING LIST

Select caregiver to be put on their waiting list
Mariya Spasova · Individual / Couples / Family Counseling · 🇬🇧 🇧🇬 🇷🇺Lina Butkute, PhD · Individual Psychotherapy / EMDR / Couples Therapy · 🇬🇧 🇷🇺 🇱🇹
Elvira Vitale · Individual / Couples / Family Psychotherapy · 🇬🇧 🇮🇹 🇪🇸

Christopher Grogan, PhD · Clinical Psychologist · 🇬🇧

Dr. Kris Naudts · Psychiatrist · 🇳🇱 🇬🇧 🇫🇷

Dr. Thomas Van der Poorten · Psychiatrist · 🇳🇱 🇫🇷 🇬🇧

Eric Lambrechts · Individual Psychotherapy (uniquement français)

Lina Butkute, PhD · Individual Psychotherapy · EMDR · Couples Therapy · 🇬🇧 🇷🇺 🇱🇹
Since its opening, the Brussels Mental Health Center has already welcomed more than 1,100 patients. If a caregiver does not appear in the form currently, it means they are unavailable. Feel free to check back later.

Reason of consultation*
Name*
Referred by
Email*
Phone Number*

Country CodePhone Number
Your privacy is essential to us. The information you provide is handled in strict confidence and used only for your care, in accordance with our privacy policy.

Date of Birth*
Home Address

Street Address, City & Postal Code

City, Postal Code

Postal / Zip Code
How did you find out about us?
Terms & Conditions*

I accept the fees and cancellation policy of the Brussels Mental Health Center. I consent to the processing of my personal data for the purpose of appointment scheduling. I acknowledge the caregiver’s declared areas of expertise.
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