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Please complete the following:

  1. Open the PDF below and download

  2. Click the download icon at the top corner of the opened PDF to Download to your device, then complete on your device or print and scan

  3. Please forward the above signed document to customerservice@convergeintl.com.au

  4. Then, proceed to contacting our Customer Service team on 1300 687 327 to book your child’s counselling appointment

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