group art therapy

Name *

First Name

Last Name

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Phone

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I am...

interested in attending groups as a client

interested in referring clients/patients to groups

Group topics/focus *

I am interested in more information on groups related to...

Body image, body liberation, fat positivity, Health at Every Size (HAES)

Disordered eating, food concerns, relationship with food

Loved ones of those navigating disordered eating, body image concers

Gender identity, transitioning

Sexual orientation and identity

Loved ones of LGBTQIA+ folks

Grief and loss

Sociopolitical stress and anxiety

Healthcare and helping professionals, person-of-the-therapist, burnout recovery, compassion fatigue

Religious trauma recovery, dismantling purity culture

Personal growth and identity

Other

Group location preference *

Would you like to attend or refer to groups in-person or virtually?

In-person (Austin, TX area)

Virtually (for those located anywhere in Texas)

Interested in both, or no preference

Other