AuDHD Community Group — Enrollment & Waitlist
Sound Mind Counseling, LLC · Telehealth · Adults · Private pay
Use this form to select your preferred session time. If the primary session is full, you will be placed on the waitlist for the second session, which will launch once enough members are enrolled.
Your Information
Full name
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Email address
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example@example.com
Session Selection
Please select your preferred session:
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Primary session — Last Monday of the month, 5:00 PM ET, starting April 27, 2026. Up to 12 members, monthly, telehealth.
Waitlist — Last Friday of the month, 12:00 PM ET, date TBD. Will launch when enough members are enrolled, same format.
I would like to enroll in the Monday session AND be added to the waitlist for the Friday session if a spot opens.
You are not guaranteed a spot until you receive a confirmation from Elizabeth. If the Monday session fills, waitlisted members will be contacted when the Friday session launches.
Commitment and Agreements
I understand this group meets on the last Monday of each month via telehealth.
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I understand this group meets on the last Monday of each month via telehealth.
I understand the per-session fee and agree to the payment policy. Each 90 minute session is $25. Sliding scale and pro bono spots are available. Reach out to Elizabeth to request a reduced rate.
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I understand the per-session fee and agree to the payment policy.
I understand that group therapy is not a crisis service, and I have or am working to establish individual clinical support.
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I understand that group therapy is not a crisis service, and I have or am working to establish individual clinical support.
I commit to maintaining confidentiality — what is shared in group stays in group.
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I commit to maintaining confidentiality — what is shared in group stays in group.
I understand that consistent attendance supports the safety and continuity of the group, and I will notify the facilitator if I need to miss a session.
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I understand that consistent attendance supports the safety and continuity of the group, and I will notify the facilitator if I need to miss a session.
I understand that the facilitator reserves the right to refer me to individual services if my needs are better suited outside a group format.
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I understand that the facilitator reserves the right to refer me to individual services if my needs are better suited outside a group format.
Signature
Date
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Month
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Day
Year
Date
Elizabeth Justice, M.Ed., LPCA · Sound Mind Counseling, LLC · Pikeville, KY · Supervised by Chelsea Barger Clements, LPCC-S
Submit Enrollment
Submit Enrollment
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