Please fill out this form to schedule your 15-minute intake call with Yana Tallon-Hicks to determine your eligibility for the educational support group, Navigating Ethical Non-Monogamy.
**** CONFIDENTIALITY NOTICE ****
Please note: GoogleDocs, GoogleForms, and/or email are not secure or confidential ways to communicate. Never send sensitive or confidential information via these formats unless you have carefully considered the risks in doing so.
Please only use this GoogleForm to request an intake if you have considered the confidentiality risks of doing so.