Mental Health Professional Burnout Group Interest Form

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Thank you for your interest in joining NEST Harm Reduction's Virtual Therapist Burnout Group.

This group is limited to eight (8) individuals who are mental health practitioners in California.

This is a psychotherapeutic group that will meet for eight (8) 60-min virtual session via Zoom on Thursdays from 8:30am - 9:30am on the following dates:

January 5th, 12th, 19th, & 26th
February 2nd, 9th, 16th & 23rd

The cost of the group is $400 ($50/session).

Each participant will need to have access to a stable internet connection and a quiet, private space to fully participate and be present for other group members. We expect all group participants to honor and respect confidentiality of what is shared and said in group sessions remains private to the group and is not shared with anyone outside of group, with the consent of all members.

We will be scheduling 15 minute intake calls with all potential participants in December 2022.

Please fill out this interest form to be contacted by someone from our intake team.

Full Name *

Email Address *

Phone Number *

Preferred Method of Contact: *

Text/Phone

No Preference

Are you a resident of California? *

Yes

What type of mental health professional are you?

Licensed (LMFT, LCSW, LPCC, PsyD)

Pre-Licensed (AMFT, ASW, APCC, PsyD)

Medical Provider (MD, RN, EMT)

Other:

Briefly tell us why do you want to enroll in this group? *

Do you have any questions/concerns?

Submit

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