Group Therapy Application | April 2020 Cohort

Psychotherapy for Individuals and Couples

Oakland City Center
1305 Franklin Street
Suite 300
Oakland, CA 94612

Phone:
415-508-6263

Request Appointment

Group Therapy Application

Group Online Therapy Application (April 2020 Cohort)

First Name*

Last Name*

City*

State*

Phone*
Email*

Please provide a bit of information on the issue(s) you feel are presenting challenges.*
Please provide information on your past experience with therapy (individual, couples, family, and/or group therapy) including ways in which you feel that you benefitted from that therapy and ways in which you felt that the experience fell short of your expectations.*
Please describe ways in which you would hope to benefit from the group therapy experience.*
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