SPT Groups Interest Form

SPT Group Interest Form
Thank you for your interest in Seattle Play Therapy group offerings. To help us better understand client needs and expectations, we invite you to fill out our Interest Form. The information provided will give us insights into your preferences, ensuring that we tailor our offerings to suit your interests.

This form does not confirm if a group will be hosted. Groups will be selected based on community interests and needs. If a group is held we will reach out and provide an informed consent with next steps. If you have any questions about groups or the screening process, please contact info@seattleplaytherapy.com.
Overview
Seattle Play Therapy group programs are offered in-person, virtually or by hybrid format. Groups provide an opportunity to meet with others in a shared environment. Some groups focus on education: learning a new skill, problem solving challenges, and finding new ways of being. Other groups involve learning more about yourself, practicing and experiencing connections and problem-solving challenges.
 
While our providers may also be trained mental health professionals and/or licensed therapists, they will not be providing you with a mental health diagnosis, and therefore groups are NOT considered a healthcare service. Groups are not designed to replace therapy by a licensed professional and are not designed to address specific and/or severe mental health diagnoses or safety risks. Some individuals may not be a good fit for groups.
Logistics
Fees
The cost for SPT groups is paid in advance and includes all supplies. This cost is non-refundable, including if you or your child is absent from any of the group meetings. The cost for groups cannot be reimbursed by health insurance, as this is not a healthcare service.

Participation
It is not required that you or your child participate in each group session, nor is there a penalty for absences. However, as payment is made in advance, it would be an opportunity lost for you or your child to miss out on any given day. In some groups, each week is planned ahead of time with a curriculum and daily goals. Previous week’s topics and/or projects will not be reviewed if missed. Additionally, the knowledge and tools discussed in groups are cumulative. It is important that you or your child be engaged with the other group members to form important connections and absorb all the benefits possible from this program.
Please fill out the following:
Please select the top 3 groups you are interested in. The groups with this symbol (*) are parent only or family groups.

Art TogetherEncounterChildren's Storytime HourConnect with CreativityVirtual Parent Support Group*Gender Affirming Parenting Workshop*Taming Toddler Tantrums*AAPI Group: Bettering Family Relationships in Asian American Families*
Child's Name*

First NameLast Name
Child's Date of Birth*

MonthDayYear
Child's Email (if applicable)
Caregiver Name*

First NameLast Name
Caregiver Email*
Caregiver Phone Number *
Please enter a valid phone number.
What pronouns does your child use?
What grade is your child in?
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?
How did you hear about this group?
Other
Please verify that you are human*
Is there anything else you would like us to know?
Should be Empty:

SPT Group Interest Form

Overview

Logistics

Please fill out the following: