Registration - Family Matters Form

Registration - Family Matters Form

Please submit registration 72 hours in advance to receive invite to the upcoming group. The Family Matters Group will be held on the Fourth Wednesday of every month at 6:00PM
Your first/last name*

First NameLast Name
Date of Birth*

MonthDayYear
Please note if you are under 18 years of age you will have to contact an administrator before signing up for group. Please email: Dan@myjadewellness.com to learn more
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Yes - Currently EngagedYes - Previously AlumniNo - I don't have a loved one engaged.
Family Matters is a closed group for JADE Wellness Center clients and alumni

Please utilize the following family resources:

PAL

Nar-Anon

PA Get Help Now Hotline
📞 1-800-662-HELP (4357)
Name of individual you are here to support.

First NameLast Name
You will receive an email with date & time of next support group along with log-in instructions. Please note, all family support groups are virtual through Zoom telehealth platform.
Upcoming Family Matters Group / Fourth Wednesday of every month at 6PM.

April 22, 2026
May 27, 2026
June 24, 2026
July 22, 2026
August 26, 2026
September 23, 2026
October 28, 2026
December 23, 2026
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