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Request Outpatient Mental Health Counseling
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Request Supervision Sessions
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Our Mission
Our Team
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Resources
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Our Services
Outpatient Mental Health Counseling
Comprehensive Community Services (CCS)
First Responders/Critical Incident Stress Management
Brainspotting
Group Services
Consultation & Training
Supervision Sessions
Practicum & Internships
Request Services
Request Outpatient Mental Health Counseling
Request Comprehensive Community Services (CCS)
Request Brainspotting
Request First Responder Services
Request First Responder Group Services
Request Group Services
Request Supervision Sessions
About Us
Our Mission
Our Team
Insurances Accepted
Resources
Careers
Liability Waiver/Confidentiality
Client Portal
Parenting Psychoeducation Group Application
Name
*
First Name
Last Name
Email
*
Phone
*
(###)
###
####
Service Facilitator Name
*
Service Facilitator Email
*
Service Facilitator Phone
*
County
*
Do you have the best availability during the weekdays around 12pm, or after 6pm for eight one-hour sessions?
*
12pm weekdays
After 6pm weekdays
Both work for me
Neither work for me
Can you commit to all eight sessions?
*
Yes
No
Do you have access to Google Meet?
*
Yes
No
Do you give permission to share your contact info with others from the group who want to connect with you?
*
Yes
No
What are your top three needs as a parent?
*
What barriers do you have to meeting those needs?
*
What have you done as a parent to meet your child’s needs, what worked and what hasn’t?
*
Can you attend with your parenting teammate or support person for your own work as a parent?
*
Yes
No
What do you think a parenting psychoeducation group looks like or will be like?
*
Do you need to chat with a psychoeducation group leader prior to the first session?
*
Yes
No
Is there anything else we need to know?
*
Thank you! You have been added to our next session.