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  • If you are referring someone to our program, please list your name here:
  • If you are referring someone to our program, please list your phone number here:
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  • I understand that Anger Management is a psychoeducational service. Anger management education is not psychotherapy or counseling. If I need a referral for counseling or am experiencing any mental health concerns, I will seek support through a psychotherapist.
  • I understand that this purchase is non-refundable. I agree to all terms and conditions of this purchase. I understand that missed appointments are non-refundable. If you need to change your appointment, it must be rescheduled at least 24 hours prior to your original appointment.
  • I agree that it is okay for Anger Management U to contact me, or the individual I have referred, at the phone number and/or email listed above.
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