Name * If you are signing up on behalf of a minor for one of the adolescent/teen groups, please list your name here & in the additional information box below, please include the minor's name, date of birth & your relationship to the minor First Name Last Name Phone * (###) ### #### Email * Group Therapy Options * Please select which group therapy experience you are interested in Changed: Adult Grief Processing and Support Group: 10am Morning Session, In-Person Changed: Adult Grief Processing and Support Group: 5pm Evening Session, Virtual/Online Addictions Processing Group (Adults 18+) Addictions Processing Group (Minors Only) Domestic Violence/Trauma Survivors Group (Adult Women 18+ Only) Domestic Violence/Trauma Survivors Group (Minor/Women Only) Teen Girl Glow Up Equine-Assisted Group Additional Information * Please use this section to add any additional information necessary- if you were referred, please say who referred you, thank you! Thank you for signing up for a group therapy experience & taking the next step in your or your child’s mental health journey with Minaret Therapeutic Services!Please note, an email from group@minarettherapeuticservices.com will be sent to the email provided shortly to confirm your sign up as well as any additional information pertaining to your group therapy experience!Thank you again for entrusting Minaret Therapeutic Services with your therapeutic need because your mental health mattersTake care & talk soon!
