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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.

Date and time
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Day
Year
Time
HoursMinutes
Birthday
Month
Day
Year
Multi-line address
Preferred Contact Method:
Phone
Email
No Preference
Have you participated in therapy before?
Which groups are you interested in?
I am interested in meeting...
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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