Peer Support Group Registration

Peer Support Group Registration

Register to join our healthcare support groups and stay connected with our community.
First Name
Last Name
Email (You will receive an email with group info + Zoom link upon form submission)
example@example.com
Opt in to support group reminders via our weekly newsletter
What is your role in healthcare?
Which support group(s) would you like to attend?
What are you hoping to gain from your participation in these support groups?
How did you learn about Don't Clock Out?
Cost: $10 donation suggested, no one turned away for lack of funds. This is requested for our continued sustainability moving forward.

DONATE HERE
I understand that this group is not intended as a replacement for therapy.
I understand that this group is not a space for observation; IE for any form of clinical placement or educational experience.
Don't Clock Out seeks to be an affirming and collaborative space. Please review our Shared Community Commitments and confirm your understanding below.
I have read, understand and accept the Shared Community Commitments and Peer Support Group Guidelines.
Please verify that you are human
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