Group Therapy Request Form (Scott Donovan, LMFT)
Building group lists to start groups please fill out the form to be considered for a group. You will be contacted.
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Please complete the form below. Please Be Aware: Due to the COVID-19 crisis, we are only conducting Video/ Telehealth sessions currently, via an easy-to-use secure portal. Please check this box that you are aware of this temporary change. *
Please tell us briefly what is bringing you to counseling: *
Name of client *
Client Date of Birth: *
Phone number: *
Email Address: *
Are you currently in therapy? *
Would you prefer morning or afternoon groups? *
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