More Than Basic Therapy Group Interest Form
Complete the following information and someone will get back to you shortly.
If you are having thoughts of harming yourself or others please immediately call 911 to seek help from your local mental health authorities. You may also reach out to the following for 24-hour help.
Crisis Text Line
National Suicide Prevention Lifeline
Best Contact Number
Area of Highest Concern
Transitional/ Adjustment issues
Relationship/ Family Issues
Grief and Loss
Thank you for submitting your inquiry, in the next 24-48hrs you will receive an email to schedule your free consultation.
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This form was created inside of MTB Therapeutic Services.