Online Therapy Group for Anxiety

If you are interested in joining this group, please fill out this form and I will be in touch with you. Thanks for your interest!

Name

First Name

Last Name

Phone number

Subject

Message

Please tell me a little bit about what brings you to this group

Have you ever used video conferencing software before?

Yes

How much are you capable of paying (per session)?

Please note: the minimum required to attend the group is $5 per session. I will not ask anyone to provide proof of income. If you are in a good financial position, please consider paying more to assist those who are financially limited.

Which of the following methods can you use for payment?

Paypal

Venmo

Zelle

None of the above

Are you able to commit to the group for at least 4 weeks?

Yes

Online Therapy Group for Anxiety

Contact us to set up a FREE consultation