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- <script src="https://secure.jotform.com/static/feedback2.js?3.2.5983" type="text/javascript">
- var JFL_50634498580968 = new JotformFeedback({
- formId:'50634498580968',
- base:'https://secure.jotform.com/',
- windowTitle:'Request a Counseling Session',
- background:'#eb796d',
- fontColor:'#FFFFFF',
- type:false,
- height:500,
- width:700,
- openOnLoad:false
- });
- </script>
- <a class="lightbox-50634498580968" style="cursor:pointer;color:blue;text-decoration:underline;">Plan A Visit Form</a>
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