Register for Outpatient Group Therapy

Please fill out this form if you are interested in taking part in one of our therapy groups.

Programs will be filled on a "first-come, first-served" basis with adolescents being matched according to level of need.

Group Therapy Enrollment Form

Child's Information

Gender
Pronouns

Person Completing the Form

Relationship to Child

Additional Information

Program Enrollment Information

Please select a program for enrollment:
For children (8 to 11 years) with poor social development due to excessive rigidity, difficulty understanding other’s point of view, and awkwardness/discomfort in social interactions.
For parents of children (6 to 8 years) with disruptive, aggressive, and oppositional behaviors; learn strategies to increase your child’s compliance, frustration tolerance, and social skills.
For teens (13 to 17) with excessive and persistent worry, physical symptoms related to stress, and who avoid situations, people, or places that cause distress.
For parents of children (7 to 13 years) who are experiencing mood dysregulation, non-compliance, irritability, and aggressive behaviors; learn positive parenting strategies for managing your child’s mood and behavior, along with parent-specific coping and self-care strategies.
Does your child currently see, or have they seen in the past, a counselor, therapist, or psychiatrist?
Has your child ever received treatment for psychiatric illness?
Medical Problems
Psychiatric Diagnoses
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Outpatient Group Therapy Programs for Kids, Teens and Parents