Join us for a Healing After Birth & NICU Trauma Support Group via Zoom

Date: Every 3rd Monday of the Month | 2026

July 20, 2026

August 17, 2026

September 21, 2026

October 19, 2026

November 16, 2026

December 21, 2026

Time: 1:00pm-2:00pm EST

Please fill out this consent form below. Once you have registered, you are registered for the entire support group series (every 3rd Monday at 1pm) - no need to register each time. The calendar hold will be in the confirmation email.

About this Group
Led by trained peer facilitators, this group is for Moms who have experienced birth, medical and/or NICU trauma. This space acknowledges the weight of the physical and emotional impact of these traumas.

You may have felt unheard, unsupported, or out of control during your childbirth experience. You may find yourself reliving moments, avoiding reminders, or carrying emotions that feel heavy. You deserve a place where your trauma is recognized and supported.

Here, you are not alone, and you are not to blame. While we honor that your story has value, we do not process detailed birth stories in this space, as they can be triggering to others. Instead, we focus on understanding the effects of trauma, exploring emotions, sharing the unique challenges of grieving after birth trauma & loss, and practicing coping strategies together.

✅ Cameras are required during introductions for the safety of all group members. Please make sure your technology allows you to turn on your camera at least briefly for this portion of the session.

This group is not for:

- Partners or Dads

- Those who experienced a pregnancy or infant loss (please join our loss group for support)

THE ZOOM LINK WILL BE SENT UPON REGISTRATION!

Name

First NameLast Name

Phone Number

Format: (000) 000-0000.

E-mail

example@example.com

CONSENT FOR PARTICIPATION

I, hereby consent to my participation in Capital Area Healthy Start’s Support Group(s). I have also been made aware and understand the following:

● Groups are facilitated by Lola Brognano, LCSW #15182 or Associate Therapists at Lola Brognano, LCSW, LLC for CAHS. However I am fully aware this is not therapy.

● Groups are support based and no individual therapeutic advice will be given.

● Our social workers are required by HIPAA Confidentiality regulations to only release information if it poses a safety issue for self or other(s). All other information discussed in the group will remain confidential with all in attendance in agreement.

● Any concern for safety is required by law to be reported.

RELEASE OF LIABILITY

I understand that the information being discussed and shared is of a sensitive, vulnerable and possibly triggering nature and is inherent in any environment. I knowingly hereby consent to my presence at any of Capital Area Healthy Start’s Support Groups. I do, hereby, for myself, my child, heirs and executors forever waive and release CAHS, its board members, committee of advisors, licensed and pre-licensed clinicians, volunteers or any other paraprofessional from any and all claims, actions, demands, rights and damages of any nature whatsoever, that I may have at any time against CAHS.

Signature

Date