Intake

I understand that the information I provide is confidential and will not be shared without my consent, except in cases where disclosure is required by law (e.g., risk of harm to self/others).

I agree to participate in therapy sessions and understand the fee structure and cancellation
policies.

I understand that therapy is a collaborative process and that outcomes may vary.

Acknowledgment of Payment Policy

I acknowledge that I have read and understood the payment policies outlined:

I understand that therapy is a collaborative process and that outcomes may vary.

• INR 3000 for the first session


• INR 2000 for subsequent sessions


• Additional fees for extra sessions or urgent consultations as discussed.