Deliberate Practice Consultation Group Registration

Deliberate Practice Consultation Group Registration
Thanks so much for your interest in our Deliberate Practice Consultation Group! We’re excited to have you join us. Please share more about your background and indicate the dates you will be joining the group. If you have any questions feel free to reach out to jason@jasonbrand.com.

The group meets at 12pm PT on select Fridays (see below for current dates).

Take care,

Jason and MacKenzie
Name*

First NameLast Name
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
What stage career are you in? *
What is your level of experience with Deliberate Practice?*
Is there anything else you would like us to know?
Please indicate which group dates you would like to attend. All dates listed are Fridays at 12pm PT. (Cost for each group is $60. Please pay below.)

December 13, 2024December 20, 2024January 10, 2025January 24, 2025January 31, 2025February 14, 2025February 28, 2025

Purchase Groups

1 Group1 Consultation Group Meeting

$60.00 Quantity

5 Groups5 Consultation Group Meetings

$300.00 Quantity

10 Groups10 Consultation Group Meetings

$600.00 Quantity

Total

$0.00

HIPAA Disclaimer and Agreement

All group participants must acknowledge and agree to the following terms regarding the Health Insurance Portability and Accountability Act (HIPAA):

Confidentiality: We are committed to protecting the privacy of all individuals and ensuring that all mental and physical health information is handled in compliance with HIPAA regulations.

No Recording: Recording of any videos or audio presentations of this group is strictly prohibited. This is to ensure that sensitive mental and physical health information remains confidential and secure.

Compliance: All videos and content presented by group members must comply with HIPAA standards. Do not disclose any protected health information (PHI) without appropriate consent.

User Responsibility: Group members are responsible for maintaining the confidentiality of any personal mental or physical health information about their clients or themselves they may choose to share in any interactive sections of the group.

Report Violations: If you believe there has been a violation of HIPAA guidelines, please contact us immediately.
By participating in this group, you agree to adhere to these HIPPA guidelines and to helping us maintain a secure and compliant environment for all group participants.*
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