Pocket Therapy

Pocket Therapy

Preval Mental Health Solutions
POCKET THERAPY FORM SERVICE DESCRIPTION
Pocket Therapy is a quick, solution-focused session designed for individuals who need a space to vent, be heard, and process their emotions in a supportive environment. These 30-minute sessions are not traditional therapy but an opportunity for immediate emotional support.

Before booking, all clients must complete a brief intake screening to ensure they are not experiencing severe mental health concerns that require a different level of care.
SESSION DETAILS
Duration: 30 mins

Format: Telehealth
COST & PAYMENT POLICY
Standard Price: $50 per session

Same-Day Request: $75 per session (follow up in 3 hours after the paid request)

Sign up Fee: (One time intake assessment)
Prepayment IS Required: Sessions must be paid in full with credit card. Verification is required before booking is confirmed.

Scheduling: Sessions must be scheduled at least 1 day in advance, unless choosing the same-day service.
BOOK YOUR SESSION BELOW
Step 1: Intake Screening

Please answer the following questions to determine eligibility for Pocket Therapy sessions
Are you currently experiencing any severe mental health concerns (e.g. thoughts of self harm, suicidal thoughts, psychosis, severe depression or homicidal thoughts?

YesNo
Please Explain your yes in this space:
Have you been diagnosed with a mental health condition that requires ongoing therapy or psychiatric care?

YesNo
Please explain your yes in this space:
What is your primary reason for seeking a Pocket Therapy session? (Check all that apply)

Need to vent and process emotionsSeeking clarity on personal concernsLooking for immediate emotional supportNeed an unbiased listener
If you answered "Yes" to questions 1 or 2, Pocket Therapy may not be your best option. We recommend seeking professional mental health support.
Step 2: Select Your Session Type

Standard Session ($50) – Scheduled at least 2 days in advanceSame-Day Session ($75) – Includes a follow-up within 3 hours
Step 3: Payment Information
All payments must be processed before the session. A credit card verification is required to secure your appointment
Full Name
Phone Number
Email
example@example.com
Billing Address
After completing this form, you will receive a call and be prompted to pay with a secured link and a completed credit card authorization form.
Preferred Contact Method for Session

Phone CallZoom
I agree that my session is non-refundable once booked.I understand that Pocket Therapy is not a substitute for mental health treatmen
Thank you for completing this form. We look forward to supporting you on your journey to healing and growth!
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Pocket Therapy

POCKET THERAPY FORM SERVICE DESCRIPTION

SESSION DETAILS

COST & PAYMENT POLICY

BOOK YOUR SESSION BELOW

Step 1: Intake Screening

Step 3: Payment Information