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Form for Telehealth

Please fill out the following form letting us know how much time you would like for our expert to reserve, what you would like us to help you with, and make sure to tell us any frustration you have in the past.

Telehealth Questionnaire

Please fill out the following information and click on the Submit button below.

Once form is submitted, select the correlating Pay Now dropdown option for payment:.

Thank you for your time in completing this important form. A House Calls professional looks forward to speaking with you and will call you shortly.

 

Let’s get started right now:

Please select the amount of time you are requesting from your expert by clicking the correct dropdown option and then clicking on the Pay Now button.

*If you have already filled out the form above and not already chosen a time amount, please choose the time below:

Skype Session

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