What is your availability to attend this group? Check all that apply (if there are other time frames please let me know and I can consider that for this or future groups) *
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What payment plan works for you for the 8 week program? *
Briefly describe what you are hoping to get out of this group (if you are experiencing an emergency please call 988 or 911). *
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Please write the email you would like me to contact for further information. *
Your answer
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