Urgent Counseling Session Impact Family Christian Counseling

Urgent Counseling Session

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

First Name *

Last Name *

Email *

Phone *

Comments

Counselor *

Counseling Time *

Counseling Space *

I Understand & Agree With The Christian Counseling Consent Terms

I Agree With Christian Counseling Terms *

Yes

I Understand & Agree With The Refund Policy

You are entitled to a full refund if you cancel 72 hours before the appointment by clicking the cancelation link in your email confirmation.
You are entitled to a full refund if the counselor does not show up to the session after 15 minutes of your scheduled appointment and you have called their phone number and extension and contacted our support team online.
You are entitled to a refund if you have doctor-verified documentation due to a medical emergency.
For all refunds please submit a refund request form.

I Agree With Refund Policy *

Yes

Billing Zip Code *

Counseling Contribution Amount

50-minutes - Weekdays $85 / Weekends $100
100-minutes - Weekdays $170 / Weekends $200
150-minutes - Weekdays $255 / Weekends $300

Amount *

.