6-Week Living with Emotionally Immature Parents Group

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Starting April 29th | Mondays | 1:00pm-2:30pm | Adults 18+ | Zoom

Please complete this form to register for the Living with Emotionally Immature Parents 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.

First & Last Name *

Email Address *

Phone Number *

Date of Birth *

YYYY

City you reside in. *

Which group setting are you available/prefer to do? *

In-Person (Sherwood area)

Telehealth (Via Zoom)

I've available and willing to do both.

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

Yes

Submit

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