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DBT Groups Registration
Please fill out the below information. A team member will contact you shortly when registration opens.
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Client Name (and pronouns if you would like to share):
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Your answer
Client Age at time of group (June 2024):
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Your answer
If using insurance, please list which one:
*in some instances your co-pay may be more than the group rate - please ask us to verify this is you think it may apply to you*
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Your answer
Which DBT group are you interested in?
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Elementary School Age Group - Tuesdays at 11:00 am (in person, but can do online if needed)
Middle School Age Group - Thursdays at 11:00 am (online)
High School Age Group - Thursdays at 11:30 am (online)
Spanish Speaking Group for Adults - Mondays at 6:00 pm (online)
Adult Group (day/time coming soon!)
Email address:
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Your answer
Phone number:
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Your answer
Anything else you would like us to know?
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Your answer
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