Registration for Ongoing Psychotherapy Group
Sessions to be held at Healing Bear Wellness, 308 E. Simpson St., Suite 100, Lafayette, Colorado every Thursday from 5:30pm to 7:00pm beginning in February, 2020. Group is limited to six participants with an initial 8-week commitment. New members may join the closed group after that time.
Gender
Male
Female
N/A
Full Name
*
First Name
Last Name
E-mail
*
Phone Number
*
-
Area Code
Phone Number
Please choose all that apply.
*
I would like to register, and I am committed to join the initial 8-week group session.
I would like to register, but only want to join the group on a week-by-week basis after the initial 8-week commitment.
Additional comment(s) or question(s)
Submit Registration
Should be Empty: