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Please complete the following:
Download Open the PDF below linked file and and download to your device, then complete on your device or print and scan
Please forward the above signed document to customerservice@convergeintl.com.au
Then, proceed to contacting our Customer Service team on 1300 687 327 to book your child’s counselling appointment
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Need more help?
You can call us on 1300 687 327 and we’ll assist you with your enquiry.