Make a confidential enquiry and I will get back to you...
Todays Date
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How did you find me...?
ACA website
Google Ad
Google Maps
Bing/Microsoft Ads/Maps
Recommendation
Returning Client
Hot Doc
Psychology Today website
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Other
Name:
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I am looking for help with...
Individual Counselling 60 minutes online/in person $120
Individual Counselling 45 minutes online $90
Individual Counselling 30 minutes online $60
Supervision as a Supervisee online/in person &140
Your preferred delivery method?
In-person at my practice
Online - Phone or video link
What is the reason for contacting Dom Lawrenson Counselling?
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Indicate Yes or No if you are happy to receive info updates & wellness tips - only two per month at most.
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Contact/Mobile
Email Address
Optional additional information
Your information is always kept confidential.
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