Support Group Pre-Registration Form
Participant's information
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Email *
First/Last name *
COVID-19 Guidelines for the group
Participants and facilitators will wear a mask during sessions. A temperature check will be taken at the beginning of group each session. If participants have been exposed to a COVID positive individual, the participants will be expected to stay home and will NOT be charged for the missed session.
Group Description
The process of faith development is deeply personal and yet a universal experience. This means we need support from a community and individual levels. To make sense of your unique internal experience, you will learn about the neurobiology of faith crisis and build community through meaningful dialogue.
Group Location
Location: The Center for Integrative and Holistic Counseling is located in Kaysville Utah:
375 North Main Street, Suite 202- Utah-84037- Tel:801-923-3290.
Group Schedule
This is a 6-session support group that meets biweekly on Wednesdays or Tuesday from 6:00 to 7:10 pm depending on registration volume.
Which session would you prefer? (Although we wish to accommodate your first choice, we cannot guarantee it). *
Registration Process
After completing this form, you will receive an email message from The Center for Integrative and Holistic Counseling inviting you to complete a client profile in your online client portal using the software SimplePractice.

In order to reserve a spot in the support group you are asked to:
1- Complete your SimplePractice profile,
2- Update your account password,
3- Complete all documents,

Your CIHC (Center for Integrative and Holistic Counseling) group facilitator will reach out to you to confirm your group assignment.
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