APPLICATION

Application form
Please read the Procedure.

The Application Form consists out of two parts:
Part 1 - Information from parents/guardians. We request that you, as parents/guardian, answer this part and sign it.
Part 2 - Information from your childs primary physician, for whom we will use the expression "main physician". Part 2 needs to be filled out and signed by this physician.

The application process starts when you return parts 1 and 2 of the application to CDTC, completely filled out and signed. We prefer that you e-mail a scanned copy to info@curacaodolphintherapy.com or fax it to us at 005 999 461 9889.

When you have any questions about the application(procedure) please contact us by e-mail: info@curacaodolphintherapy.com or phone (00 5999) 4619886.

Downloads
Application form part 1
Application form part 2