NAMI Basics Registration Form
Basics is for parents and other family caregivers of children and adolescents who have either been diagnosed with a mental health condition or who are experiencing symptoms but have not yet been diagnosed.
Email address *
FALL 2018 - Mondays: Oct 8 - Nov 12
LOCATION: NAMI Billings Office - 3333 2nd Ave. N, Suite 150, Billings, MT 59101
TIME: 6:15 - 8:30pm
Name *
Your answer
Address *
Your answer
Phone Number *
Your answer
Email: *
Your answer
Is your child exhibiting behavioral health or mental health issues? *
Required
Does your child have a diagnosis? If so, what is the diagnosis? (This is helpful for us, but not required)
Your answer
What is your child's age? *
Your answer
Will you need special accommodations?
Your answer
How did you hear about us?
Thank you for your interest in NAMI Basics. A class facilitator will be in touch with you soon.
Your answer
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