AAPI Group

This group is for Asian families to connect and explore their parent-child, and family, dynamics in the context of their family history and ethnic identities. Each week our co-facilitators, Judy Ko and Adora Du, will meet with you to explore varying therapeutic topics informed by their own Asian identities. We hope this group will give space and voice for parents and children to connect over their cultural history and learn about each others' experiences as Asians in America, and that in turn will deepen and strengthen their relationships!

Dates for this group have not been finalized. You may complete this interest form and we will reach out once dates have been scheduled.

This is not considered a healthcare service, and is therefore NOT billable to insurance.

To apply, please fill out the form below. We will review your form to ensure your child will be a good fit for the group. Once approved we will send you a welcome letter, consent form to sign, and an invoice to finalize your registration. This form does not finalize registration.

Child's Name*

First NameLast Name

Caregiver Name*

First NameLast Name

Relationship to Child*

Caregiver Contact Email*

example@example.com

Child' Email (if applicable)

Caregiver Phone Number

Please enter a valid phone number.

Child's Date of Birth*

Date

How old is your child?

What grade is your child in?

Which school does your child attend?

What pronouns does your child use?

What special interests does your child have?

Do you have any social, emotional or behavioral concerns for your child? If so, what are they? (Example: "my child sometimes struggles to communicate when they are frustrated")

Why are you seeking group support for your child?

What are you hoping your child gains from being involved in this group experience?

To schedule dates and times for this group, please provide your availability: *

What are areas of concern in your family?

Other

How did you hear about this group?

Other

The group is a prepaid service. If you are ill or not able to attend one of the groups, we unfortunately, will not be able to provide any refund.

Is there anything else you would like us to know?

Thank you filling out the screening form. Once you submit the form, we will review your form to ensure you or your child will be a good fit for the group.

THIS FORM DOES NOT FINALIZE YOUR REGISTRATION!

Please verify that you are human*

AAPI Group: Bettering Parent & Child Relationships in Asian American Families