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Search
About
Founder
Identity
Beliefs
Team
Locations
Reviews
Google Reviews
Yelp Reviews
Facebook Reviews
Share Feedback
FAQ
Applications
Counseling Team
Volunteer Team
Donate
Terms and Policies
Learn More
Appointments
Schedule 1st Intake Session
Schedule Regular Session
Gift Certificate
Urgent Sessions
Credit Card Authorization
Appointment FAQ
Share Feedback
Events
Services
Resources
Video Studies
Book Studies
FAQ Book
Site Map
Documents
Meditation Tools
Four Temperaments Test
Addiction Recovery Program
Couples Survey Questions
Love Language Quiz
Apology Language Quiz
Anger Assessment
News
Blog
News
Search ...
Urgent Counseling Session
Approval Is Needed Before Using This Form
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
Session Data
Counselor
*
Select Counselor
Jack Hakimian
Jhael Hakimian
Hakimian Team
Kevin Gibson
Vensen Ambeau
Dr. Jasmine S. Ambeau
Ambeau Team
Carlo Peralta
Yilians Peralta
Peralta Team
Brandon Giostra
Angelo Rainey
Other Not Listed
Counseling Time
*
Counseling Space
*
Select Location
Office
Webcam
Phone
Credit Card Data
Amounts To Input
$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)
Amount
*
.
.
Submit & Pay
Name