INTAKE & CONSENT FORM
Please complete our intake form, and then read through our consent form at the bottom in order to confirm your appointment.
Medical Aid Clients
Our session fee is R1,030 (inclusive of VAT) per session, (51 - 60) minutes.
Please provide your medical aid details below, so that we can check if you have funds available before your session. We will notify you IF this information is available.
Medical aid clients are liable to pay an admin fee of R170 (inclusive of VAT), and is payable upon submitting this form, in order to confirm your session.
Please Note: This admin fee is not covered by your medical aid.
Please Note: The medical aid check is subject to available funds at the time of your session. Should your savings be depleted beyond full coverage before your session, you will be liable for the fee balance NOT covered by your medical aid.