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Image by Ashley Whitlatch

Pre-Counseling Checklist

If you are interested in an initial counseling session, please complete the following questions and submit your responses. We will review your information and contact you as soon as possible.

Initial Counseling Questionnaire

If you would like to schedule an initial counseling session, please answer the following questions and submit the form.

Blood type
Presence or absence of allergies
No
Yes
Are you suffering from a medical condition, illness or injury?
No
Yes
Fixed fee for first consultation
CHF5

There is an administrative fee of CHF 5.00.

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