Parenting the Anxious Teen

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Parenting the Anxious Teen - Group

Group Led by : Tuba Fidan, LPC Associate supervised by Heena Khan, LPC-S, RPT-S

Please read and complete the from carefully. Completion of this form is not a guarantee of enrollment. Enrollment will depend on the full completion of this form, space(s) available at the time of completion of this form and your responses on this form. If you are accepted in the group, you will receive an email confirmation. *

Ok, I understand.

Group cost is $50 per session. NOTE: there is a discount if paid in full. Here are the 2 options. *

Discount of $25 if paid in full $225

$50 every week : Total of $250 (recurring payment of $50 every week for 5 weeks)

This group is only for parents of tween and teens and will be hosted in-person at our Allen office location (919 Medical Dr. Allen, TX). *

Ok, I understand

If we offer this group virtually, would you be interested in that one instead of this in-person group? *

Yes, I strongly prefer the virtual group option

I'm fine with either one

No, I want to attend this in-person group

Group starts on Saturday August 20, 2022, for 5 consecutive Saturdays. *

Yes, I understand

Parent name: *

Parent Email address: *

Parent Phone Number: *

How old is your teen? *

Tweens (11-13)

13-15

16-18

Required

Please pick one of the following so we can prepare seating for the group *

I will be attending alone

I will be attending with my spouse (no extra charge for spouses)

Some with my spouse and some alone

Not sure yet

Are you ready to learn about why your teen gets so anxious and how recognize the signs? *

Yes!

Are you ready to learn about Healthy Communication with your kids?

*

Yes!

Are you ready to learn how to help your kids have better results in their academics?

*

Yes!

Are you ready to learn Coping skills for anxiety, along with Activities and a useful Toolbox to help your teens at home?

*

Yes!

To enroll in this group, you must be committed to all 5 sessions. There will be no refunds or make up sessions. *

Yes, I understand

After the full completion of this form, if your enrollment is accepted, you will receive an email confirming your enrollment AND an intake packet for you to complete electronically. Please check inbox AND spam folder for our emails. *

Ok, I understand. I will be on the look out for an email.

If you opted or requested for a virtual group option, we will send you a separate email with further instructions. *

Ok, I understand. I will be on the look out for an email.

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