Group Therapy Application
Mental Fitness C.R.E.W: Center for Resilience Empowerment & Wellness
Your Name
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First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Do you live in Michigan?
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Yes
No (We are only licensed to provide services to clients who reside in MI)
Email
*
example@example.com
What are your primary reasons or concerns for seeking group support at The Mental Fitness C.R.E.W: Center for Resilience Empowerment & Wellness?
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Which Restoring Resilience THERAPY GROUP are you applying for?
Adults with Ongoing Health Conditions - Meet Tuesdays 9-9:50am
Support for Caregivers (of someone with ongoing health conditions) - Meet Tuesdays 10-10:50am
The group will meet virtually once a week for six weeks. After your application is reviewed, you will receive an email with a registration link confirming your commitment to attend all six sessions and approval of the total program cost of $270 ($45/session). Payment in full is required at registration and is non-refundable for missed sessions or withdrawal. Please note that we do not bill insurance for group costs. Do you agree to these terms?
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Yes
No
Submit
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