tca-bru logo
REGISTER IN THE DIRECTORY
tca-bru logo

Geolocation directory registration request form

Entries in the directory are reserved for specialists located in the Brussels region.

TCA registration form

Once you have registered, you will have direct access to your data and will be able to update it.

Specialist registration form TCA Brussels
Do you have specific experience and/or training in the treatment of CAT?

The application to be listed in this directory is reserved solely for professionals specialising in the treatment of ADD.

If you do not have any convincing clinical experience or have not undergone any specific training in the treatment of OCD, this directory is not for you.

You should know that there are special training courses in this very specific field.

We invite you to contact us via our section "contact for more information.

Back to home page

What kind of professional experience do you have?

Please complete your profile

First & last name
First & last name
First name
Name
Please confirm your password

Maximum file size: 5MB

You can upload a photo to identify yourself. It will be inserted on your public profile in your personalised file.
Are you covered by an agreement?
Intervention procedures :
Choose at least 1 answer
Target population
Select the language(s) you speak
Main place where you carry out your professional activity
Main business address
Main business address
Postcode
City
Country
Secondary business address if any
Secondary business address if any
Postcode
City
Country
Please confirm your email
Type of appointment
Preferred means of contact
Availability

The field below is designed to allow you to personalise your presentation.

Add any information you feel is important and relevant to the people looking for CAT providers in the Brussels region who will consult your listing.

You can also enter other addresses where you do business here.

Complete your personalised form here

By submitting this form, I agree that the information entered may be published on the "XXXXX" website in the directory of first-line providers treating CAT in the Brussels region.

Thank you for taking the time to complete this form.
If you have any suggestions or comments, please let us know.
All you have to do is send your information using the "send" button below.
en_GBEnglish (UK)
fr_FRFrançais nl_BENederlands (België) arالعربية es_ESEspañol en_GBEnglish (UK)