Credit Card Authorization.pdf
We welcome you to virtual therapy!
Remote session counselling by phone or video link normally starts with the completion of our regular consent form, a virtual therapy consent form and a repeat transaction credit card authorization form which is faxed back to our offices at 403-277-8346
Alternatively, as long as the signed forms are emailed to me at <email@example.com> from a Gmail account, they will never leave Google's servers for the open internet and, thus, will remain secure. (We are a Google Apps domain - essentially Gmail with our own domain name.)
We look forward to connecting with you!
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