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The Correction Platform LLC
Email: thecorrectionplatform@gmail.com
Phone: 689-248-0058

Let’s work together

Thank you for your interest in my counseling and therapy services. Please take a moment to complete the following form to help me understand your needs better.

Name

First Name

Last Name

Email

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Preferred Method of Contact

Services of Interest:

Please check the services you are interested in:

Individual Counseling

Couples Therapy

Family Therapy

Mental Health Education Group

Workshop

Engaging Keynote

Briefly Describe Your Current Situation or Concerns:

Goals

Please briefly outline what you would like to accomplish through The Correction Platform.

Availability

Please share your preferred days and times for appointments.

Budget Expectations

What is your budget range for the services you are seeking? This will help me tailor my offerings to better meet your financial considerations.

How did you hear about The Correction Platform's services?

Thank you for taking the time to fill out this form. I look forward to the opportunity to work with you on your journey toward emotional well-being and personal growth.

Note: All information shared will be kept confidential in accordance with ethical and legal standards.

Contact Us

Let’s work together

Empowering Minds, Inspiring Growth

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