Relapse Prevention Group Registration
Scenic Bluffs is hosting a 4-week Relapse Prevention Group that provides a supportive, nonjudgmental space where participants can strengthen coping skills, understand triggers, and build a personalized plan to support ongoing recovery and confidently navigate challenges. Please fill out the information below to register for this group.
CONTACT INFORMATION
Name
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Phone Number
What is your drug of choice?
What is your reason for interest in joining this group:
Submit
Should be Empty: