Group Interest Form

Please provide us with the following information. Once you have responded to all of the information requested, please click the Submit button at the end of the page. An email summary of your responses will be sent to the CAPS clinical director.

Group *

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Name

Your Name

E-mail Address *

Your e-mail address

Special Accomodations

Please describe any special accommodations you need.

This group requires a brief pregroup meeting to discuss how group can help you meet your goals and determine if it will be a good fit.

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Group Interest Form