Book an Appointment for Counselling Session
Duration of Session: 40 to 45 minutes
Mode of Session:
In Person (Gyandeep Center); Telephonic Call; Video Call 
Language: Hindi | English  
Working Hours: 10:00 am to 10:00pm
Working Days: Monday to Saturday , (Special On Sunday)
*Please read and agree to the disclaimer in the form below in order to book a therapy session
Please fill in the details below and submit. You will hear from us within 24 hours.
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Email *
Name *
Father Name *
Address *
Mobile No *
Date for Appointment  *
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Time or Appointment *
Time
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Registration Fee Rs.300/- 
Scan this bar code or Google Pay, Phone Pay, Paytm on this no.7206418355 for other option Call on above Mobile No.
Please tell us about your concerns in detail. (Describe what made you seek therapy)
By proceeding with therapy sessions with our Center, you agree to the
 following terms and conditions:
 1. Confidentiality: All information shared during therapy sessions will be kept
 strictly confidential and will not be disclosed to any third party without your
 written consent, except in cases where there is a risk of harm to yourself or
 others or where required by law. I, as a mental health professional, am bound by
 the laws of confidentiality and will take all necessary measures to protect your
 privacy.
 2. Limits of confidentiality: Please note that while all information shared during
 your therapy sessions will be kept confidential, there are certain limits to
 confidentiality that I am required to adhere to by law. These include, but are not
 limited to, reporting child/elder abuse, cases where there is a risk of harm to self
 or others, or a court order for releasing information.
 3. Professional conduct: I will conduct therapy sessions in a professional and
 ethical manner, adhering to the code of ethics set by my profession. I will not
 engage in any behavior or actions that may harm you physically, emotionally, or
 psychologically. If at any point, you feel uncomfortable or believe that I am acting
 unethically, please inform me immediately.
 4. Non-discrimination: Our Center does not discriminate based on race,
 ethnicity, religion, gender, sexual orientation, age, or disability. We believe in
 providing equal access and treatment to all individuals seeking therapy.
 5. Risks and benefits: Therapy can be a transformative and healing experience;
 however, it may also bring up uncomfortable feelings and emotions. It is
 important to understand that therapy is not a quick fix and requires time, effort,
 and commitment. There is no guarantee of a specific outcome, and results may
 vary for each individual.
 6. Emergencies: In case of an emergency, please contact your local emergency
 services or go to the nearest emergency room. I may be available for phone
 consultation during regular business hours, but I cannot guarantee immediate
 availability.
 7. Termination of therapy: I reserve the right to terminate therapy if I believe it is
 no longer beneficial or appropriate for you. I will provide you with referrals to other
 mental health professionals or resources, if needed.
 By ticking below, you acknowledge that you have read and understood the above
 terms and conditions and agree to adhere to them during your therapy sessions
 with our Center. You also understand that this disclaimer does not
 constitute a contract and may be subject to change at any time. Please do not
 hesitate to ask any questions or seek clarification before signing.



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