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Group Session Interest/Registration

Please complete this form if you are interested in educational and processing group therapy services.

When: Our next 6-week group session begins the week of 11/02/26 and ends the week of 12/07/26.

Where: In-person groups will meet in the downtown Toms River area. Specific details to come.

How much?: Group services are $30 per session = $180.00 total for the 6-weeks.

Payment is due in full at the first session.

No refunds given for missed sessions as information and resources will still be provided.

Todays date and time
Month
Day
Year
Time
HoursMinutes
Birthday
Month
Day
Year
Preferred contact method:
Email
Phone
Have you participated in therapy before? - Check all that apply.
Which group are you interested in? - Check all that apply.
I am interested in meeting...
In-person only
Virtual only
Open to both options
Which of these scheduling options would work best for you - Check all that apply. If none are a good fit, please choose "Other" and provide your preferred availability.
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