IF YOU ARE REELING FROM A TOXIC RELATIONSHIP, THIS GROUP MIGHT BE A FIT FOR YOU.

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The group will focus on
* Recognizing the Problems in your Relationship & Understanding Abusive Patterns.
* Setting Healthy Boundaries & Protecting yourself
* Self-Worth & Healing old Wounds.
* Building Resiliency & Hope for your Future
This group is for adults and will meet online for 8 weeks. This group will be hosted virtually and scheduled based on availability; planning to begin in February or March 2025.

SAFETY NOTE: This group is appropriate for those who are no longer in a toxic relationship (although you may still have custody/ other communication to navigate). If you are still in a relationship with a toxic party, individual counseling is still available to help!

COSTS: This group is covered by most insurances, and discounted rates are available. The cost is $35/ session, or $225/ the full group if paid in advance. (A savings of $55!) Participation in at least 7 of the 8 sessions is requested to ensure that all group members get the most out of our time together.

Completing this form indicates your interest in participating in this group, but does not confirm your participation. Your information is confidential; please answer as fully as possible as this will help us verify details for the group.

Name *

Email *

Phone number *

What times are you potentially available to meet in a typical week. (Please select ALL that apply so we can find a time that works for as many people as possible).

Mondays

Tuesdays

Wednesdays

Thursdays

Fridays

Mornings (9am - 12pm)

Afternoons (12pm - 2)

Late Afternoons (2pm-4)

Evenings (4pm-7pm)

If you plan to use insurance to cover this group, which insurance plan do you have? (select multiple if you have more than one.)

Aetna

Blue Cross/Blue Shield

Cigna

Medicaid/ Medical Assistance

Health Partners

Hennepin Health

Ucare

Tricare West

Preferred One

Medica/ United Behavioral Health

I would be interested in hearing more about self pay and discounted rates.

Other:

Date you completed this form? *

YYYY

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