hi njs,

The physio is always the one that decides what to do in Holland....
if (and it does happen every now and again) a doctor does have an opinion and wants a certain treatment performed and we agree, we do so.... and
include whatever else we think necessary.
If we do not agree, we call and discuss.... people can come with a referral and without one... the referral usually asked for physiotherapy... we are
the ones doing our own assessment,deciding goals, making treatment plans and treating in whatever way we see fit.

You are still very welcome in Holland, you most certainly find that (if you contact them) colleagues are willing to show you around.
Esther