You can always press Enter⏎ to continue
BOOKING FORM

BOOKING FORM

www.divinelifeclinic.co.za 
  • 1

    We are a Christian counselling practice registered with ASCHP as Specialist Wellness Counsellors, offering professional support for individuals, couples and families both online and onsite. Our services and practices conform to Christian psychology, mental health and Biblical principles.

    Reg No: SWC 25/17082

    Our vision is to bring total healing and restoration to the psychological, mental, emotional and psychosocial challenges of mankind by transmittng the zoe life of Jesus Christ.

    Our mission is to walk alongside you on your journey to healing, wholeness and spiritual renewal. Whether you are navigating trauma, grief, relationship challenges, marital infidelity, emotional wounds, anxiety, depression, burntout or life transitions, we provide holistic therapeutic process and intervention tailored for your unique needs.

    CANCELLATION & RESCHEDULING POLICY:

    TO SECURE A BOOKING, A NON-REFUNDABLE DEPOSIT OF 50% OF THE TOTAL SERVICE FEE IS REQUIRED. IN THE EVENT WHEREBY 100% IS PAID THEN 50% GETS FORFEITED WHEN RESCHEDULING. IN THE EVENT WHEREBY THE BOOKING IS CANCELED ALTOGETHER THEN THE ENTIRE 100% BECOMES NON-REFUNDBLE.

    Press
    Enter
  • 2
    Press
    Enter
  • 3
    Press
    Enter
  • 4
    Press
    Enter
  • 5
    Press
    Enter
  • 6
    Press
    Enter
  • 7
    Please Select
    • Please Select
    • Afghanistan
    • Albania
    • Algeria
    • American Samoa
    • Andorra
    • Angola
    • Anguilla
    • Antigua and Barbuda
    • Argentina
    • Armenia
    • Aruba
    • Australia
    • Austria
    • Azerbaijan
    • The Bahamas
    • Bahrain
    • Bangladesh
    • Barbados
    • Belarus
    • Belgium
    • Belize
    • Benin
    • Bermuda
    • Bhutan
    • Bolivia
    • Bosnia and Herzegovina
    • Botswana
    • Brazil
    • Brunei
    • Bulgaria
    • Burkina Faso
    • Burundi
    • Cambodia
    • Cameroon
    • Canada
    • Cape Verde
    • Cayman Islands
    • Central African Republic
    • Chad
    • Chile
    • China
    • Christmas Island
    • Cocos (Keeling) Islands
    • Colombia
    • Comoros
    • Congo
    • Cook Islands
    • Costa Rica
    • Cote d'Ivoire
    • Croatia
    • Cuba
    • Curaçao
    • Cyprus
    • Czech Republic
    • Democratic Republic of the Congo
    • Denmark
    • Djibouti
    • Dominica
    • Dominican Republic
    • Ecuador
    • Egypt
    • El Salvador
    • Equatorial Guinea
    • Eritrea
    • Estonia
    • Ethiopia
    • Falkland Islands
    • Faroe Islands
    • Fiji
    • Finland
    • France
    • French Polynesia
    • Gabon
    • The Gambia
    • Georgia
    • Germany
    • Ghana
    • Gibraltar
    • Greece
    • Greenland
    • Grenada
    • Guadeloupe
    • Guam
    • Guatemala
    • Guernsey
    • Guinea
    • Guinea-Bissau
    • Guyana
    • Haiti
    • Honduras
    • Hong Kong
    • Hungary
    • Iceland
    • India
    • Indonesia
    • Iran
    • Iraq
    • Ireland
    • Israel
    • Italy
    • Jamaica
    • Japan
    • Jersey
    • Jordan
    • Kazakhstan
    • Kenya
    • Kiribati
    • North Korea
    • South Korea
    • Kosovo
    • Kuwait
    • Kyrgyzstan
    • Laos
    • Latvia
    • Lebanon
    • Lesotho
    • Liberia
    • Libya
    • Liechtenstein
    • Lithuania
    • Luxembourg
    • Macau
    • Macedonia
    • Madagascar
    • Malawi
    • Malaysia
    • Maldives
    • Mali
    • Malta
    • Marshall Islands
    • Martinique
    • Mauritania
    • Mauritius
    • Mayotte
    • Mexico
    • Micronesia
    • Moldova
    • Monaco
    • Mongolia
    • Montenegro
    • Montserrat
    • Morocco
    • Mozambique
    • Myanmar
    • Nagorno-Karabakh
    • Namibia
    • Nauru
    • Nepal
    • Netherlands
    • Netherlands Antilles
    • New Caledonia
    • New Zealand
    • Nicaragua
    • Niger
    • Nigeria
    • Niue
    • Norfolk Island
    • Turkish Republic of Northern Cyprus
    • Northern Mariana
    • Norway
    • Oman
    • Pakistan
    • Palau
    • Palestine
    • Panama
    • Papua New Guinea
    • Paraguay
    • Peru
    • Philippines
    • Pitcairn Islands
    • Poland
    • Portugal
    • Puerto Rico
    • Qatar
    • Republic of the Congo
    • Romania
    • Russia
    • Rwanda
    • Saint Barthelemy
    • Saint Helena
    • Saint Kitts and Nevis
    • Saint Lucia
    • Saint Martin
    • Saint Pierre and Miquelon
    • Saint Vincent and the Grenadines
    • Samoa
    • San Marino
    • Sao Tome and Principe
    • Saudi Arabia
    • Senegal
    • Serbia
    • Seychelles
    • Sierra Leone
    • Singapore
    • Slovakia
    • Slovenia
    • Solomon Islands
    • Somalia
    • Somaliland
    • South Africa
    • South Ossetia
    • South Sudan
    • Spain
    • Sri Lanka
    • Sudan
    • Suriname
    • Svalbard
    • eSwatini
    • Sweden
    • Switzerland
    • Syria
    • Taiwan
    • Tajikistan
    • Tanzania
    • Thailand
    • Timor-Leste
    • Togo
    • Tokelau
    • Tonga
    • Transnistria Pridnestrovie
    • Trinidad and Tobago
    • Tristan da Cunha
    • Tunisia
    • Turkey
    • Turkmenistan
    • Turks and Caicos Islands
    • Tuvalu
    • Uganda
    • Ukraine
    • United Arab Emirates
    • United Kingdom
    • United States
    • Uruguay
    • Uzbekistan
    • Vanuatu
    • Vatican City
    • Venezuela
    • Vietnam
    • British Virgin Islands
    • Isle of Man
    • US Virgin Islands
    • Wallis and Futuna
    • Western Sahara
    • Yemen
    • Zambia
    • Zimbabwe
    • Other
    Press
    Enter
  • 8
    Press
    Enter
  • 9
    Press
    Enter
  • 10
    prevnext( X )
    My Bag
    1
    My Bag
    Great Product Name
    $20
    Quantity:1
    Size:Small
    RemoveEdit
    Great Product Name
    $20
    Quantity:1
    Size:Small
    RemoveEdit
    Great Product Name
    $20
    Quantity:1
    Size:Small
    RemoveEdit
    Great Product Name
    $20
    Quantity:1
    Size:Small
    RemoveEdit
    ORDER SUMMARY
    Total costZAR
    • Life Coaching
      Life CoachingWe also do executive coaching for organizations, companies and NGOs.
      900.00ZARRemoveEdit
      Back
    • Family Therapy
      Family TherapyFamily therapy is charged R600 per head
      600.00ZARRemoveEdit
      Back
    • Trauma Debriefing & PTSD
      Trauma Debriefing & PTSD
      900.00ZARRemoveEdit
      Back
    • Pre/Post Marital Consultancy
      Pre/Post Marital Consultancy
      1,200.00ZARRemoveEdit
      Back
    • Grief Counselling & Therapy
      Grief Counselling & Therapy
      900.00ZARRemoveEdit
      Back
    • Depression & Anxiety Therapy
      Depression & Anxiety Therapy
      900.00ZARRemoveEdit
      Back
    • Marriage Registrations
      Marriage Registrations We also do marriage officiations
      3,000.00ZARRemoveEdit
      Back
    • Stress & Anger Management Therapy
      Stress & Anger Management Therapy
      900.00ZARRemoveEdit
      Back
      Total cost 0.00ZAR
      Press
      Enter
    • 11
      Press
      Enter
    • 12
      Press
      Enter
    • 13
      Press
      Enter
    • 14
      Clear
      Press
      Enter
    • Should be Empty:
    Question Label
    1 of 14See AllGo Back
    close