Screening Questionnaire for DBT Group
Group Information: This is a Dialectical Behavior Therapy (DBT) skills training group.
Date/Times: Groups will meet weekly for two hours for 8 weeks.

Fees: $320 per module (each module is 8 weeks)

Requirements for participation:
• Regular attendance with primary therapist.
• Signed Release of Information (ROI) for primary therapist.
• Current crisis plan available
• Agree to group rules and assumptions
• Commit to 8 weeks ( a full group cycle)
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