By completing this form, you confirm that you have read and understood the Therapy Agreement and Privacy Policy. You understand the six-session commitment, payment terms, cancellation policy, refund policy, and limits of confidentiality.
I have read and understood the Therapy Agreement.*
I understand the six-session commitment and payment terms*
I understand the cancellation and refund policy.*
I understand the limits of confidentiality.*
I have read the Privacy Policy.*
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