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Assistance Request

For Psychotherapy-Network provider use only. Any other use is prohibited.

Subject

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Two hours Assistance for $100. Please describe the help you need:

In order to send this email you must check these Acceptance boxes:

I certify that I am a credentialed licensed therapist with an unencumbered license and active malpractice insurance with minimum limits of $1,000,000/$2,000,000. I will notify psychotherapy-network if the status if my licensure or insurance changes while a Member of Psychotherapy-Network.com.

I have read and agree to the Terms of Service.

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