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Session Scheduling, Informed Consent and Payment
STEPS TO SCHEDULE A SESSION:
Step #1: Call 1-207-512-5645 to choose a convenient date and time for your session.
Step #2: Complete the Personal Questionnaire and payment form below which includes some basic information about yourself and your issue. Then click the ”Pay & Submit” button and three things will happen:
a. The entire form will be emailed to us.
b. It will be your acknowledgement that you agree to work with Ed Kuiper according to the following Informed Consent
c. You will be directed to PayPal to pay for your session.
Note: You can pay by credit card using PayPal even if you don’t have a
Step #3: Upon receiving your information form and your session payment we will send you a return email confirming your appointment.
Looking forward to working with you. Any questions, please call 207-512-5645.