12-Week Family Communication Group

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Starting July 11th, 2023. Tuesdays | 5:00pm-6:30pm | In-person-Sherwood Office

Please complete this form to register for the Family Communication Group. Once this form is completed and receive, you will receive an email welcoming you to our online Portal to complete the paperwork necessary to schedule your intake session. All Groups require a one-hour intake.

Today's Date *

YYYY

Parent First & Last Name *

Parent Date of Birth *

YYYY

Kid First & Last Name *

Kid Date of Birth *

YYYY

Email Address *

Phone Number *

By completing this registration form you are agreeing to be contacted by one of our clinicians to schedule an intake session. *

Yes

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