Group & Workshop Client Registration
Please fill out this form and you will be added to the email list for reminders and notifications for the group you choose. The weekly notification will include the link to the virtual Support Group office.  If you have any questions, please call 803-216-1604 and Liza will be happy to support you!
Sign in to Google to save your progress. Learn more
First and Last Name *
Phone number *
Email address *
Who is your primary therapist if you have one? *
Required
What group or workshop are you interested in registering for in 2025?
 *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of The Healing Collective.

Does this form look suspicious? Report

Google Forms