Men's Trauma Group

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Men's Trauma Group

Starting July 17th, 2023 | Mondays 1:00pm-2:30pm | In-Person | $30 per session (Intake Charged Separately $60)

Please complete this form to register for the Men's Trauma 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.

This Group is a 6-week pre-requisite for the ongoing Women's Trauma Group that will begin in June.

Today's Date *

YYYY

First & Last Name *

Email Address *

Phone Number *

Date of Birth *

YYYY

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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