Student Health & Counseling Student Groups
Registration Form
Name
*
First Name
Last Name
UA#
*
Date of Birth
*
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Are you a current UAF student?
*
yes
no
We currently have four offerings for group counseling: A DBT-informed skills group and an ACT (acceptance and commitment therapy) group for depression and anxiety, Graduate Student Support Group for Women, and Drug and Alcohol group. Which of these groups are you interested in?
*
A DBT-informed skills group
An ACT (acceptance and commitment therapy) group for depression and anxiety
Graduate Student Support Group for Women
Drug and Alcohol
Are you currently receiving individual counseling services?
*
yes
no
Have you ever participated in a psychotherapy group before?
*
yes
no
What are you hoping to get out of the group experience?
*
Submit
Should be Empty: