IHA 2025 Annual Booking :-)

First name

Last name

Email

Phone

Insurance

Coverage for Registered Psychotherapist

Coverage for Registered Psychologist

No insurance Coverage

South Asia Client- No Insurance

Booking with

Renuka Gupta ( waiting list for LIVE Video or Phone session)

Other professionals of IHA Team

If others, with who do you wish to heal with ? ( All are independent professionals affiliated to IHA)

Geeta Thadani

Gurjot Kaur

Roopali Abhyankar Shah

Debjani Chakraborty

Links to go to before submitting this form:

Fees of the Clinic

Intake Form

IHA Team

Intake form - New Clients (If already submitted, you need not re-submit)

Renuka's LIVE VIDEO SESSIONS - Renuka's availability from 28th Jan -15th Dec 2025

Renuka's LIVE PHONE SESSIONS (within Canada) - (International on Whatsapp) Renuka's availability from 28th Jan 2025 - Dec 2025

Sessions needed

Once a month

Twice a month

Thrice a month

Four times a month

LIVE PAID CHAT Session with Renuka (RP Insured) 30 min - 40 CAD) (Timings are set as per availability) Please note if you select this option, you shall be taken to the payment page when you submit the form.

$

OFFLINE EMAIL Paid Chat Sessions with Renuka (Offline) - RP Insured (30 min- 30 CAD) - Available 365 Days. Please note if you select this option, you shall be taken to the payment page when you submit the form.

$

IHA TEAM - Other than Renuka ( Mon- Sat, EST - Jan 2025 - Dec 2025)

2025 Annual Booking - IHA

IHA 2025 Annual Booking :-)