At The Collective Therapy & Wellness, we are developing group therapy services designed to meet the unique needs of our clients. This form helps us understand what you are looking for in a group setting so we can offer services that best align with your availability.

Please complete the form below to reserve your spot in our group. We’ll contact you once the schedule is finalized.

Please do NOT include personal health information (PHI), details about medical/mental health diagnoses, or insurance information. This form is for general interest purposes only. If you have specific clinical concerns, please contact us directly.

By submitting this form, I acknowledge that I am expressing interest in group therapy services. I understand that this is not a clinical intake form and does not establish a therapeutic relationship. I further acknowledge that I have not provided personal health information (PHI) on this form.