Registration - Family Matters Form

Registration - Family Matters Form

Please submit registration 72 hours in advance to receive invite to the upcoming group. The Family Matters Group will be held on the Second Wednesday of every month at 6:00PM
Your first/last name

First NameLast Name
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearPlease note if you are under 18 years of age you will have to contact an administrator before signing up for group. Please email: Dan@myjadewellness.com to learn more
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
The Family Matters Group is for active or previous clients family members to gain support, awareness and education around their loved one. Select below if your loved one is engaged at JWC.
Family Matters is a closed group for JADE Wellness Center clients and alumni

Please utilize the following family resources:

PAL

Nar-Anon

PA Get Help Now Hotline
📞 1-800-662-HELP (4357)
Name of individual you are here to support.

First NameLast Name
You will receive an email with date & time of next support group along with log-in instructions. Please note, all family support groups are virtual through Zoom telehealth platform.
Upcoming Family Matters Group / Fourth Wednesday of every month at 6PM.

October 14, 2026
November 11, 2026
December 9, 2026
Should be Empty: