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Choose your preferred date and time effortlessly.

Consultation Intake Form

Please fill all the details. This helps us serve you better.

1. Personal Information

Select gender

Session Type

Is this your first session with us or a follow up session?

Parent/Guardian Booking

Are you a parent/guardian booking this session for a child?

2. Referral Source

Select source

3. Purpose of Session

Select one or more topics you would like to discuss (Required):

4. Detailed Context

5. Background Information

Have you taken similar sessions before?

Are you currently taking any medication for mental/emotional health?

6. Mode & Additional Info

Online mode: This session will take place online via Google Meet. Link will be sent upon confirmation.

Consultation Fees
₹1,000/-

Payments are processed securely through Razorpay.

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Available slots

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