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Your Consent

For us to work together I am required to inform you of how I manage your data and obtain your consent to store it. Please complete the form below if you have read, understand and accept my privacy policy and the terms of my contract

Feel free to ask me any questions before completing it, thank you.


This is your About page. This space is a great opportunity to give a full background on who you are, what you do and what your site has to offer. Your users are genuinely interested in learning more about you, so don’t be afraid to share personal anecdotes to create a more friendly quality.

Every website has a story, and your visitors want to hear yours. This space is a great opportunity to provide any personal details you want to share with your followers. Include interesting anecdotes and facts to keep readers engaged.


Double click on the text box to start editing your content and make sure to add all the relevant details you want site visitors to know. If you’re a business, talk about how you started and share your professional journey. Explain your core values, your commitment to customers and how you stand out from the crowd. Add a photo, gallery or video for even more engagement.

Consent Form for Online Therapy

Please fill out the following form to help us understand your physical condition.

I have read, understand and accept the privacy policy.
I have read, understand and accept the online therapy contract terms

Thank you for submitting your consent form.

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