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Future Group Interest Form
Want to be notified of future group offerings such as other cohorts of "Well Shit, I'm Autistic, now what?" and "OH FUCK, it's Autistic Burnout" and other group offerings? 

Then fill out this form - and we'll be sure to contact you when we offer these groups in the future! 

Technology glitches may happen - in the event that it does - you may choose to get a copy of your submission emailed to you, and you may choose to forward that email to us. 
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Email *
Name *
Pronouns *
Required
Email *
What state are you located in? *
Are you a current therapy participant at Neuron and Rose? *
Which groups would you be interested in? *
Required
Have you been in one of these groups before? *
Are there any groups that you'd like to see us offer in the future?
Anything else you'd like us to know?
Most groups have been $50/session, so $400 for an 8-week group. Would you be able to pay this out-of-pocket? *
We are not in network with insurance, however we do offer super bills upon request. 
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