Adult ADHD Coping Group - Group Interest Form

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Please include your contact info below if you are interested in joining the group "Adult ADHD Coping Group." An intake staff from Blossoming Cherry Mental Health Counseling will reach out to you to confirm and schedule you for the group.

Reach out with any questions at (516) 256-9523 or info.blossomingcherry@gmail.com.

Name *

Email *

Phone number

Can you commit to attending 8 weekly sessions of this group?

Yes

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Are you interested in an IN PERSON or ZOOM group? (Please note there is a virtual OR in person option. If you sign up for a virtual group, you only attend the Zoom sessions. If you sign up for an in person group, you only attend the in person sessions. )

In person

Zoom

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Group session will run for 1 hour. Please indicate if you would be available to attend a one-hour group session during any of the blocks of times below. Select all that apply.

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

9am-12pm

12pm-3pm

3pm-5pm

5pm-7pm

7pm-9pm

Are you currently seeing an individual therapist at Blossoming Cherry Mental Health Counseling?

Yes

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