Contact information
MindShift CBT Groups for adults (18+)


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Email *
First Name *
Last Name *
Contact Number *
Can we leave a message identifying ourselves as Anxiety Canada? *
City *
Province and Territories *
Gender *
Gender - Self describe (only complete this if you checked  "prefer to self describe' above) *
I am interested in MindShift CBT Groups for *
Age Category *
18-30
30-45
45-55
55-65
65+
Row 1
These times work best for me *
Morning - between 9 am to 12 noon (Pacific time)
Afternoon - between 12 noon to 5pm (Pacific time)
Evening - after 5pm (Pacific Time)
Row 1
These days work best for me *
Monday
Tuesday
Wednesday
Thursday
Friday
Row 1
I require financial assistance for $440 for the 8 sessions and will be responsible for the assessment fee of $50.

Anxiety Canada is a not-for-profit organization and does not receive funding from municipal, provincial or federal governments for MindShift CBT Groups. The fees received from MindShift CBT Groups cover the partial costs of running the program and the remaining costs are subsidized through generous donations and grants.  A limited number of spots are available in each group for financial assistance on a first-come, first- served basis if you do not have extended health coverage through your employer or a health insurance provider.  
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I consent to receive information from Anxiety Canada about MindShift CBT Groups and can unsubscribe from this waitlist at any time by emailing mindshiftgroups@anxietycanada.com

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