Felicity

Name *

Email Address

Emergency Number *

Personal Phone *Personal Phone Number (WhatsApp enabled)

Age *

Street Address *

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Any history of medications? *

Any physical illness? *

What are you looking for in this session? *

Have you previously done therapy sessions? *YesNo

Private Therapy.I want to opt for 1:1 (one-on-one) therapy.

Appointment Date *

Appointment Time *

Hours

Minutes

Plan & Pricing *We have a few therapy plans that you can choose from - you could go for a single session of 45 min for 999 INR, this will also include chat support for 7 days till after the session.Or a pack of 3 sessions for 2699 INR where per session becomes 900 and you get 14 days of chat supportOr a pack of 6 sessions for 5099 INR where per session becomes 850 and you get 21 days of chat supportPack of 12 sessions for 9599 INR where per session becomes 800 and you get 30 days of chat supportPack of 36 sessions for 26099 INR where per session becomes 725 and you get 90 days of chat support, so you save INR 10800 on this one.We also do custom plans - in case you want to buy a certain no of sessions

Your Safe Space

Session Therapy

Payment Details

SRWS Location

SRWS Mail

SRWS Phone

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NGO (Non-Government Organisation).