Afghan Group Therapy (Registration)
Group will meet Monday's on August 8,15, 22 at 7:00pm-8:30 pm EDT over zoom. By completing this form your are registering and will be contacted to schedule a screening to determine eligibility for the group. This to ensure the group is a safe and appropriate space for everyone!

For all questions contact mona@bloompsychologyto.com
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Full name *
Email *
Please ensure you are checking your spam/junk.
Phone number *
Pronouns
Name phonetics *
Phonetic pronunciation the participant name to ensure I say every name right! (i.e. Michelle Hanabusa = "MIH-SHELL HANA-BOO-SA")
When is the best time to reach you? *
The screening will be conducted over zoom or over the phone and will take approximately 45-60 mins. 
Are you a resident of Ontario & 18+? *
At this time this group is open to the Afghan diaspora who are 18+ and residents of Ontario, Canada.
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