Feeling Great App Group Sept-Nov 2024

Feeling Great App Group Sept-Nov 2024

Led by Brandon Vance MD and Heather Clague MD, meets online for 80 minutes for 8 weeks, offered Mondays 4-5:20pm Pacific Time, September 23rd - November 11th. Cost is $12 per session ($96 total) plus the cost of the app ($99 per year after 7 day free trial). Sliding scale for both the group and the app are available - see below. No one turned away for lack of funds. REGISTRATION NOW CLOSED. Please sign up for our newsletter at https://www.feelinggreattherapycenter.com/subscribe to be informed of our latest groups.
Name*

First NameMiddle NameLast Name
Email address for communication and listserv. Please add brandonvance@gmail.com and hclague@gmail.com to your contacts so our emails will not go to spam.*
example@example.com
E-mail for Zoom (ALL MEETINGS REQUIRE A FREE ZOOM ACCOUNT - We need all the emails associated with any Zoom accounts you will use for the App Group). Make your free zoom account at https://zoom.us/signup.*
example@example.com
ALTERNATE E-mail FOR ZOOM (IF YOU MIGHT BE USING MORE THAN ONE - If you may be using more than one Zoom account (e.g. if you might use a work email or borrow your partner's computer and will be using their zoom account, please give us the email associated with that account)
example@example.com
Do you need to be in an AUDIO-ONLY breakout group? (We require people in the regular breakout rooms to keep their video ON so everyone feels safe. But if you do not have access to video or for another reason want to have your camera off, you can be in an Audio-only breakout room.)*

Yes - please put me in a breakout room without video.No - I will keep my video ON during breakout room sessions.
Are you a therapist? (If not, please skip to the next question.)

I am a therapist and want to be in a small group ONLY with other therapists.I am a therapist but want to be in a general group.
If you feel comfortable, please let us know how you identify.

I am a person of colorI identify as queerI identify as being on the neurodiversity spectrumOther
If other, how else do you identify?
I identify my gender as (female, male, non-binary, etc.)
Some people prefer to be in a breakout group that has others who identify similarly to them. Please let us know, in order of preference, what aspects of your identity you'd like us to prioritizing when assigning you to a group. We will do our best to honor all requests. If there is anything else about your identity or group placement you'd like us to know, please let us know here (or email Heather at hclague@gmail.com.)
Phone Number*
Format: (000) 000-0000.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
In this App Group we will be having small group discussions about the experience of using the app - hence it's important to use the app each week, both for yourself and for your fellow breakout room members.*

I commit to using the Feeling Great App for at least 15 minutes 4 times a week (1 hour total each week) in addition to the time spend during group meetings.
I acknowledge this group is ONLY for education and does NOT provide treatment. I am fully aware that the Feeling Great App Group offered by Brandon Vance, MD and colleagues is solely an educational group. This App Group is NOT intended to provide treatment for any illness and is NOT an emotional support group. There is absolutely NO treatment contract between myself and Dr. Vance, Dr. Clague and/or any of the other facilitators of the group or Integrative Psychiatry Solutions or the Feeling Great Therapy Center implied by this group. I agree that no physician-patient relationship, or therapist-patient relationship is created by any personal work conducted by Dr. Vance, Dr. Clague or any of their colleagues and the myself while participating in the Feeling Great App Group. I take full responsibility for my own health and indemnify, defend and hold harmless any of the above persons and/or entities if I experience any adverse feelings or health during or after this group whether or not they may relate to the group or app in any way. I agree that Brandon Vance, MD, Heather Clague, MD and any and all of their guest colleagues, cannot be sued in any court based on their actions, discussions, emails, or any communication with me. Finally, along with the above, I agree that my attendance in this group is ONLY for educational purposes and NOT for treatment.*

I have read, understood and agree to the above.
Brandon Vance MD and Heather Clague MD value acceptance, inclusion, and equity. We understand that the harm of oppression based on identity (e.g. race, ethnicity, gender identity, sexual orientation, ability status, physical attributes, country of origin, religion, etc) is real and hurtful. We understand that this kind of oppression pervades the daily life of some members of our community more so than it does others. We ask of anyone joining our group the same thing that we ask of ourselves: to be attentive to ways in which privilege you experience may lead to blind spots; to be thoughtful about the impact of your actions, even if well intended; and to receive feedback with curiosity and an open heart. By clicking below, I agree to these principles.*

I have read, understood and agree to the above.
Age Appropriate*

I am 18 years of age or older. (if you are not, please contact brandonvance@gmail.com to discuss)I am under 18 but have permission from Brandon or Heather to join
How did you hear about the App Group?

David Burns emailFeeling Great App WebsiteMy therapistMy doctorEmail from Brandon Vance, Heather Clague or The Feeling Great Therapy CenterFriend or Colleague (word of mouth)MeetupPaper FlyerOther: if other, please specify where in next question.
If none of the above, please let us know how you heard about the App Group...

App Group Registration: You can pay via paypal or credit or debit card. We want you to join us and no one will be turned away for lack of funds. There is a sliding scale available for the App Group and the Feeling Great App is available for free for those who need that. If the cost is barrier for you, please email Brandon at brandonvance@gmail.com or Heather at hclague@gmail.com and let us know what you can afford.*

Feeling Great App Group Sept-Nov 2024 Registration

$96.00

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Total

$0.00

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