OCD Support Group for Kids Registration Form

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Prior to attending the support group for kids, we ask that caregivers fill out this form so we can ensure that your child will be a good fit for this group. It is important to us that kids that are a part of this group feel connected to others in the commonality of struggling with obsessive compulsive disorder. Please answer the questions and a therapist will be in touch to confirm registration, ask follow-up questions, or provide options for other opportunities that may be a good fit.

What is your child's name and age? *

What is YOUR name and email address? *

Has your child been diagnosed with obsessive compulsive disorder by a licensed therapist or medical doctor? *

Yes

Other (I will explain below)

Required

If your child has not been diagnosed with obsessive compulsive disorder, please explain why you think your child would still be a good fit for this group.

Has your child received treatment for OCD? If your answer is yes, please tell us who provided treatment and how successful it was. *

Please rate how confident you are in your knowledge of raising a child with OCD so that we may have an understanding about what additional education or support would be helpful for parents. *

I have no knowledge about OCD.

I am extremely knowledgeable about OCD.

How effective are you in using tools to help your child with OCD? *

Not effective at all (Doesn't seem to work or I don't know what I am supposed to be doing)

Very effective (doesn't mean it's easy)

Please acknowledge the following:

I am aware that the OCD Support Group for Kids is NOT a therapeutic group. My child will not be receiving any kind of therapy service during this group. This support group is a place for kids to meet other kids that share a similar struggle, feel less isolated in this, and to have some fun! If you are in need a therapy for you or your child, we would be happy to talk to you about the therapy services that we provide for anxiety related problems and OCD.

I acknowledge and accept.

Never mind, I don't want to have my child participate in a non-therapy support group.

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