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Perinatal Consult
Event Timing: First Wednesday of the month from 12PM to 1PM
Event Address: Virtual (will send link once payment is received)
Contact:
Everlasting Wellness LLC-
484.706.9465 or everlastingwellness.counseling@gmail.com
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Welcome to an empowering and supportive perinatal consult for all professionals and providers:
Perinatal Consult facilitated by Angie Chelton
This is an interdisciplinary consult with the goal of supporting other helping professionals who work with the perinatal population. It is $10 a consult to attend
Please fill out registration form entirely and you will receive the link for the consult once we received your payment.
Name
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Profession
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Email
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Phone Number
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I understand that I will have to pay $10 before receiving the link for consult. You can either pay PayPal, Venmo, Check or Cash.
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I'll pay via Paypal (QR attached)
I'll pay via Venmo (QR attached)
Cash or Check- Will drop off at office.
Other:
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Venmo
- (QR, @everlastingwellnessllc or
https://account.venmo.com/u/everlastingwellnessllc
)
I give consent to charge $10 per session for the consult.
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PayPal
(QR or
https://www.paypal.com/paypalme/everlastingwellness
)
I give consent to charge $10 per session for the consult.
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Consult Consent:
This consult is to be empowering and supportive. Confidentially and HIPAA is a must. This is not legal advice.
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By checking- I agree to the above.
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