PARENT FORM FOR GROUP

If you are interested in having your teen (age 14-17) or young adult (age 18+) participate in one of our groups, please fill out the form below. Filling out the form does not guarantee a spot in a group; instead, filling out this form provides our practice with information about the demographics of interested patients. This is important as it allows us to appropriately match patients to a potential group. If we have a good fit for your child/young adult at this time, we will reach out to discuss next steps. Please reach out with any questions/concerns to contact@palmerpsyd.com Thanks!

Please note: For patients over the age of 18, we strongly suggest encouraging them to apply for the group themself. With those who are over 18, we require the patient’s consent before discussing group details with their parents.