Request a phone intake

Leave your details below. Jildert will call you back at a moment that suits you for a brief intake (about 15 minutes). After that we'll schedule your first treatment together.

Name

Phone number

Email address

Preferred call moment

Brief description (optional)

No medical information via this form

Please don't share any medical or privacy-sensitive information via this form or e-mail. We'll discuss those safely during your intake call. A short description of your question is enough for the request.

I agree to the terms and conditions.

You'll receive a confirmation by e-mail. Jildert will contact you by phone as soon as possible.

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Jildert Mosterman, acupuncturist, is a member of the NVA and affiliated with:

Affiliated with Stichting Zorggeschil (Dutch healthcare disputes foundation)