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Obrazac za prijavu
za online psihoterapijsku grupu
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Email
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Ime i prezime
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Godina rodjenja
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Mjesto i drzava stanovanja
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Opisite problem koji zelite da rijesite
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Od kad ga imate i kako ste do sad pokusavali da ga rijesite, opisite
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Ako uzimate lijekove navedite koje
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Ispricajte mi ono sto smatrate da je vazno da znam o vama i vasem zivotu
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Koji nacin placanja vam odgovara
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