Parent Support Group for Children & Adolescents - Cindy

Parent Support Group

Group Therapy - Saturdays - October 5th, 12th, 19th, 26th and November 2nd Group will be 12pm - 1pm
Find support, comform and shared understanding with other parents. Learn strategies to help your child/adolescent cope at home and school as they navigate through difficult developmental stages with around mental health issues.

Cost for each group session is $40 - Insurance accepted

Group will take place at our WWC Family Center

301 White Horse Pike

Haddon Heights, NJ 08035
Participant Name*

First NameLast Name
If both parents are attending, please indicate name here:

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Birth*

MonthDayYear
Date
Email*
example@example.com
Cell Phone*
Preferred Method of Contact*

E-mailCell PhoneText Message
Please click the weeks you plan to attend. Each session is $40:*

Oct 5thOct 12thOct 19thOct 26thNov 2nd
Insurance Information
Most insurance plans will cover group therapy. Do you plan to use insurance for the group therapy fees?*

YesNo
If you are planning to use insurance, please provide the following information:
Insurance Carrier*
Member ID Number:*
Group Number:
If you are not planning to use insurance, please bring $40 to each group session. Checks made payable to Willow Wellness Center.
Should be Empty:

Parent Support Group