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Mar 6th, 2015
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  1. <script src="https://secure.jotform.com/static/feedback2.js?3.2.5983" type="text/javascript">
  2. var JFL_50634498580968 = new JotformFeedback({
  3. formId:'50634498580968',
  4. base:'https://secure.jotform.com/',
  5. windowTitle:'Request a Counseling Session',
  6. background:'#eb796d',
  7. fontColor:'#FFFFFF',
  8. type:false,
  9. height:500,
  10. width:700,
  11. openOnLoad:false
  12. });
  13. </script>
  14. <a class="lightbox-50634498580968" style="cursor:pointer;color:blue;text-decoration:underline;">Plan A Visit Form</a>
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