Meeting request form

Cognitive Analytica

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Name *

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Which service or services are you interested in? *

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Individual Psychotherapy

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Session Mode *

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Preferred Contact Method *

Preferred Therapist Gender *

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Male Therapist

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Select a date and time *

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September 2018

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Confirmation & Consent *

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I confirm that I understand each therapy session at Cognitive Analytica is a paid, professional service. And Payment is required before or at the time of each appointment.

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I understand that therapy sessions are confidential and conducted by licensed psychologists

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I understand that therapy sessions are confidential and conducted by licensed psychologists.

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Psychotherapy in Lebanon | Evidence-Based Mental Health Support