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Adult Services at Spirit Reins
Please complete this form if you are interested in enrolling in services at Spirit Reins. Our office will contact you about availability and next steps.
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Name
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Email
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Phone Number
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Preferred Name (If different from full name)
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Gender Identity
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Date of Birth
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Are you currently in, or have you received in the past, services from Spirit Reins?
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Are you currently seeing a therapist?
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I am interested in...
Reining in Trauma: Individual Therapy
Caregiver Connections: Parenting Group
Wellness Groups
Reason for seeking services
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Would you like to be added to the Spirit Reins newsletter to stay up to date on programming?
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No, thank you.
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