To begin your registration, please complete the form below: Name * First Name Last Name Phone (###) ### #### Email * Why are you interested in participating in Birth, Grief, and Early Parenting? * Please share about yourself, the reasons you are inquiring about participating, and your desires for participating in this group. Where did you hear about this offering? * Do you feel supported right now? * Please describe your sources of support How do you feel about being in a space where there will be discussion about birth trauma and other trauma? * Are you experiencing perinatal depression, anxiety, psychosis, or OCD? * If yes, please describe Do you have any questions for your facilitator, or other things you feel are important to know? * Please write your initials below to confirm you understand this group is a psychoeducational support group and is not therapy, nor is it a substitute for therapy. * Thank you for your time and interest! We look forward to connecting with you soon.
