Women's Anxiety Group Interest Form
Judy Sininisky MSW, LCSW  & Samantha Mandala MSW, LCSW will be leading an anxiety group at Comprehensive Counseling Center.
Spots are limited. Please register below if you are interested.

When: Thursday 6:30pm -8pm biweekly basis
Where: 2358 Rt 9 South Howell, NJ 07731
Who: Open to adult men & women
Cost: $40/session out of pocket - most major insurances accepted
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Name *
Phone Number
*
Email Address
*
Will you be paying out of pocket or using insurance?
*
Are you currently in treatment for anxiety? Explain briefly.
*
How did you hear about the group?
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