Support Group Form

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Hi,

Thanks for your interest in the Intensive Social Anxiety Group. We're over the moon about this group, and we look forward to learning more about you!

Creating a supportive group dynamic is an art. We put a lot of thought into creating a supportive, dynamic group. Let's determine if the group is the right fit for you.

Thank you! This is so helpful. Lastly, do you consent to sending this HIPAA-complaint digital form?

Your information will be encrypted.

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