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Submit Your REQUEST...

 

 

 

 

 

 

 

 

       

Family Therapy Net offers brief, solution-focused E-Counseling to adults interested in working directly with Dr. Greene.

E-counseling is strictly confidential, private, affordable and convenient. Through the use of email, Dr. Greene is able to explore troubling issues with you and seek solutions. A series of five (5) therapeutic email sessions cost $100; payable through PAYPAL.

Please complete the following form. Dr. Greene will respond with a free instructional email

 

Full Name (required):     

Email (required):     

Age (required):         Gender:    Female    Male

Address (required):     

City:         State/Province:     

Zip:        Country:   

Please describe the problem or issue that you want to address through E-Counseling: 

      

I am fully aware of the limits of ensuring confidentiality over the internet as described in the E-Counseling Disclaimer:

Yes

       

       

E-Counseling Request                           

       

      

      

     

       

 

 

 

 

 

 

 

 

 

 


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