Therapy Onboarding Form: Ibi Ayo Therapy and Wellness

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Welcome to Ibi Ayo!

We’re glad you’re taking this step toward prioritizing your wellbeing and appreciate you considering our services.

This form helps us understand your therapy needs and match you with an appropriate therapist from our team.

Please take a few minutes to fill out the information below carefully and note following important policies:

Clients are billed according to their geographic location, so it’s important that all information provided is accurate.
If inaccurate or misleading information is provided, we reserve the right to pause or terminate the onboarding process.
Payment for session packs is non-refundable or transferable
Filling out the onboarding form does not guarantee services.

Thank you for your honesty and cooperation! We look forward to supporting you on your therapy journey.

Email *

Full Name *

Phone Number (Include Country Code) *

Gender

Male

Female

Prefer not to say

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Where are you currently located? *

Nigeria and West African Countries

Africa (excluding West African Countries)

International (U.S.A, Canada, UK, Europe etc)

What is your time zone? *

What type of therapy are you interested in? *

Individual Therapy

Couples Therapy

Adolescent Therapy (10-18 yrs, parental consent required)

Other:

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