My Safe Place - 1 on 1 Therapy Sessions Sign-up
Please note, you must be above 18 years of age to avail of these therapy sessions. If you are under the age of 18, we would require parental consent.
 
These are paid therapy sessions with counselling and clinical psychologists. We will send you an email within 48 hours of registration with details regarding the therapist and the payment. We request you to kindly make a 100% advance payment prior to the session.

In case you do not receive an email please check your spam folder.
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Name
Age *
Email ID *
Mobile No. *
Emergency Contact Name and Number *
Please let us know which of our therapists/ counsellors you would like to speak to. *
Please read the disclaimer carefully. I have read and understood the disclaimer. https://drive.google.com/file/d/1zPfyznC3MKdmdl1C8oHuMoIEH7fDORS1/view?usp=sharing *
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