Online Therapy Group

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Thank you for your interest. This is a long term therapy group that meets once weekly on Zoom. Each session is of 90-minute duration and costs INR 1200 per session for local members and INR 1800 per session for international members. You are expected to attend all sessions and commit to minimum of a year in group therapy. Cancellations cost the same as session charges.

Individual assessment consultations are offered to explore your needs and how the group can be a helpful space for you . Assessment sessions range between 2 to 3 meetings and costs INR 2500 inclusive of first 3 meetings.

Your responses on this form are strictly confidential. I look forward to meeting you.

Email *

Name *

Age *

Educational qualification *

Occupation *

Present location (City, Country) *

Home Address *

Emergency Contact. Please enter name, phone number and your relationship with them. *

Name of referrer and your relationship with this person. *

Please write briefly about what you are looking for in a therapy space. *

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms