Referral Application Form

Gender

Note:

1. I am requesting a referral consultation in order to make the consultation more suitable for myself, not out of deliberate difficulty.

2. For referral consultations, the original counselor will do a good job of handing over the core content with the new counselor.

3. After the referral, the client and the original counselor shall still abide by the relevant content stipulated in the original confidentiality agreement.

SUBMIT
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