DBT Group Sign Up

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Thank you for your interest in our group!

After submitting your information, you will be directed to schedule a brief telephone chat with the group facilitator to ask any questions and learn more about the group prior to the start date. Please complete this step to continue enrollment/interest in the group.

*Please note that this site will ask for additional information to get scheduled, including insurance which will not be used for the group.

DBT Group Sign Up

Name (first & last)(Required)

Pronouns(Required)

Email(Required)

Select the group you are interested in joining(Required)

Are you available, virtually, on Mondays from 6-730pm?(Required)

How old will you be at the start of group?(Required)

Are you currently working with an individual therapist?(Required)

Will you have access to a private space to join the meeting, and equipment to support joining with video and audio?(Required)

Are you currently experiencing any of the following symptoms? If so, we ask that you are connected with an individual provider prior to enrolling in group:(Required)

Active suicidal thoughts

Have a history of suicidal plans and/or attempts

Posttraumatic stress symptoms including dissociation, depersonalization, or flashbacks

DBT Group Sign Up

Request Appointment

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