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Form Fee

Form Fee / Additions / Edits / Changes etc (FOR ACTIVE CLIENTS ONLY )

  • 15 min
  • 40 US dollars
  • Tele-Health Services

Service Description

RJIMENEZ COUNSELING, INC. charges a fee for the completion of any form which requires medical information and/or a provider's signature. Please send us the form via email to Submit your payment and select an available date in the calendar. The provider will work on your form that date and will send it back to you.

Cancellation Policy

Please provide our office a 24-hour written notice to in the event that you need to reschedule your appointment.

Contact Details


SUITE 202-X 3081 Salzedo Street, Coral Gables, FL 33134, USA

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