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Who is the session for?

Pre-Teen/Teen (Ages 8-17)

Adult (18 and over)

Pre-Teen/Teen Therapy: Free 15-Minute Consultation

* Indicates required field

Name (Parent/Legal Guardian) *

First

Last

Pre-Teen/Teen's Name *

First

Last

Teen's Age *

Legal Guardian's Email *

Legal Guardian's Phone Number *

Best way to contact you: *

Email WhatsApp SMS

How did you hear about these services? *

Social Media Internet Search Advertisement Friend Other (please describe in comments below)

Anything else you'd like me to know? (please keep to general information) *

Submit

Adult Mental Health Therapy: Free 15-Minute Consultation

* Indicates required field

Name *

First

Last

Age *

Email *

Phone Number *

Best way to contact you *

Email WhatsApp SMS

How did you hear about these services? *

Social Media Internet Search Advertisement Friend Other (please describe in comments below)

Anything else you'd like me to know? (please keep it to general information only) *

Submit

Have questions about booking an appointment? Let me know below!

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Name *

First

Last

Email or Phone number *

Please submit the easiest way to reach you

Comments/Questions *

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Lifelong Living Counselling Services

Sasha Baldeosingh, MSc
Mental Health Therapist

Contact

1-868-264-5422
[email protected]

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