Ikuponisi Comfort

About Me

Ikuponisi Comfort is a compassionate and experienced mental health counsellor dedicated to empowering individuals to achieve emotional wellness and resilience. She creates a safe space for clients to explore their thoughts, feelings, and experiences because she believes that every person has the potential to heal, grow, and thrive.

Areas of Expertise:

Her areas of expertise range from anxiety, depression, trauma, and relationship issues.

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Client Intake Form

Email

Full Name

Date of Birth

Gender

Phone Number (WhatsApp)

Location

Emergency Contact

Name

Relationship to You

Phone Number

General Health Information

Reasons for Seeking Counseling

Current Symptoms or Challenges

Have you ever attended counseling or therapy before?

If yes, please provide details

Guardian's Approval (For Clients Under 18 years)

Guardian's Consent

I, hereby consent to my ward participating in counseling services provided by Blaze Health Foundation. I acknowledge that I am authorized to make decisions on behalf of and will be responsible for their attendance and participation in counseling sessions.

Valid ID Card (If over 18)

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