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Urgent Counseling Session

Approval Is Needed Before Using This Form

Urgent sessions have to be pre-approved by your counselor. Please only use this form if you have written pre-approval via email or SMS.

Personal Data

Session Data

Credit Card Data

$65.00 (1 Counselor - 50 Minutes)
$130.00 (1 Counselor - 100 Minutes)
$195.00 (1 Counselor - 150 Minutes)
$130.00 (2 Counselors - 50 Minutes)
$260.00 (2 Counselors - 100 Minutes)
$390.00 (2 Counselors - 150 Minutes)
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