Contact Krystal Vasconcelos, LICSW

Submissions to this contact form will be sent by email to Krystal Vasconcelos.
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How would you like to pay for sessions? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Please include a few options! e.g. Monday 7-8pm, Wednesday 12-1pm

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Optional

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Contact Krystal Vasconcelos, LICSW

Contact Krystal Vasconcelos, LICSW

Submissions to this contact form will be sent by email to Krystal Vasconcelos.
Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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How would you like to pay for sessions? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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What are some good times at which to call you? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Message to therapist {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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I agree to the Terms of Service by submitting this form. I understand that this message will be sent by e-mail, which is not a secure means of communication; that Zencare's concierge team will receive my message so they can ensure the fastest response possible from this therapist; and that no licensed medical professional/ patient relationship is created by submitting this form. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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