Unlearning & Unlocking Therapist Consult Group
Thanks for your interest in joining one of my consult groups! I'm thrilled you want to join me on this journey. This will be a closed group. We'll meet 2-3x a month for 6 months. Please complete this form. Reach out if you have any questions!
Name
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Name
Pronouns (optional)
Email
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example@example.com
How'd you find out about the group?
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How many years have you been practicing as a therapist?
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What draws you into this group? What's your hope for your experience in the group?
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Which group do you want to join?
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People of Global Majority only group
Open to all group
The group will run for 6 months. Does that work for you?
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Yes
No
Please see the rate structure below and click where you fall:
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Redistribution rate: $75/meeting for those with white privilege and those who have generational or inherited wealth, investments, home ownership, or financial security. This rate allows me to offer sliding scale.
Full rate: $55/meeting for those who are able to pay for wants and needs, and save money.
Sliding scale: $40/meeting for those who can pay for wants and needs, but can't save.
Click all payment methods that work for you:
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Zelle
Venmo
Paypal (this includes an additional fee for transfers)
Payment will be collected in 2 portions. For the first 3 months, it'll be due before the start of our group in in the first month. For the last 3 months, it'll be due before the start of our group in in the fourth month. Your payment covers your spot in the group, so there are no refunds, including for missed meetings.
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Yes I understand
I have questions or concerns, I'll write them in the next section
Please share here if you have questions or concerns about the payment plan
We'll be meeting on Zoom or Signal (TBD). Let me know if you have any access needs you'd like me to be aware of:
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Anything you'd like me to know?
Once you complete this form, I'll be reaching out to schedule a call to connect and feel out alignment for the group. A spot isn't guaranteed due to limited spots. Thank you!
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I understand
No I don't understand
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