CRPS/RSD Help Support Group Registration

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On behalf of the Facebook group Maryland CRPS/RSD Support, we would like to give you a warm welcome.

We offer two groups per month on the first and third Monday of each month from 1 PM to 2:30 PM. The first Monday of the month is an open forum where participants can get to know each other and share their experiences. The third Monday of the month offers a short participant update and a predetermined topic for the group to explore and share.

Please note, that you DO NOT have to reside in Maryland to participate. We are open to anyone anywhere who would like to join our support group.

We are so glad that you found us and welcome to the group! Please share any special needs to make this experience more beneficial below. We are here for you and look forward to getting to know you.

Email *

You are not alone!

We understand what you are going through and together we will support each other.

Please confirm your email address?

The link to the group meeting is sent to your email each month.

Name *

What do you like to be called?

What are you pronouns?

I have read and agree to the support group guidelines.

https://docs.google.com/document/d/1wyIpPeUsPfsXr5FzvHiqKBDoeM_oI-56ESPI6wt1OqU/edit?usp=sharing

Yes

Other:

I consent to sharing my email within the support group rooster. *

Yes

Would you like text reminders for support group meetings? *

Yes [FYI, the reminders will be sent as a group to all support group participants]

If you would like text message reminders, please give us your cell phone number.

In order to build trust and support a safe support group atmosphere, we all must maintain privacy. You agree to keep all personal content confidential. *

Yes

You understand that, when appropriate, there will be notes provided to the support group members and within our Facebook group with general tips and tools. NO personal information will be shared in the notes. *

Yes

I have questions -

What topics are important to you?

Is there any information that I need to know, as the group leader, to best serve you? Or is there anything you would like to share that hasn't been asked? *

Where did you hear about us? *

Facebook

Maryland RSD/CRPS Support FB group

RSDSA.org

Internet search

Other:

A copy of your responses will be emailed to the address you provided.

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