Application for Coaching
Please complete the following information... then you will be redirected to an online scheduling calendar where you can select an appointment time and Relationship Repair Coach that works best for you...
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What kind of relationship concern do you want coaching for? (romantic or marriage relationship, business or workplace relationship, family relationship, parent-child relationship) Briefly describe your goals...
When are you available for coaching appointments via video conference (preferred) or phone? Dr. Stephanie only accepts coaching clients during business hours Monday - Friday... Other appointments with her Repair Associates are available during evening or weekend hours
How much is in your budget for a One hour Relationship Coaching session?
$60 (Dr. Stephanie's newest repair associates)
$100-$150 (Dr. Stephanie's more experienced repair associates)
$200 (I only want to work with Dr. Stephanie)
Do you understand that Relationship Coaching is not the same as mental health therapy services. Although the coaching services are provided by a licensed therapist with experience in Relationship Communication and Marriage and Family Therapy, this is not therapy. The services are provided over a Confidential and Secure Video conference Platform. We will assess for what is going wrong in your relationship communication and provide strategies for change. However, if you are depressed or having mental health symptoms, you should seek help from a regulated mental health therapist in your region
You are required to have a credit card on file to hold your coaching appointment. Please enter your 16 digit card #, security code, and expiration date here to put on file. All appointments not cancelled 24 hours in advance will be charged to the credit card on file...
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