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Mental Health Professional Registration Form

*Groups Must Be Run (or Supervised) By a Licensed Mental Health Professional.

Use this form to create your account; to establish a user name and password for future login;
and to pay for membership. You will then be prompted to add your group listings!


* = Required field
This information will be displayed publicly with your group listings. = For public display with group listing
Click for more details. = Click for details

First Name * : This information will be displayed publicly with your group listings.
Middle Name : This information will be displayed publicly with your group listings.
Last Name * : This information will be displayed publicly with your group listings.
Username * : Click for more details.
Password * : Click for more details.
Confirm password * :
E-Mail * :
Web Site : This information will be displayed publicly with your group listings.Click for more details.
License type * :
License number * : This information will be displayed publicly with your group listings.
How did you hear about us?* :

Supervisor Name :
Supervisor License Type :
Supervisor License Number :

Payment Information

Subscription Type * :  Click for more details.
Payment Method * : Click for more details.
Do You Have a Promo Code? Enter it Here:
Name on Check * : Click for more details.
Bank Name * : Click for more details.
Check Number * : Click for more details.

Please make your check payable to FindGroupTherapy.com and send it via postal mail to the following address:

FindGroupTherapy
606 Destiny Lane
San Ramon, CA 94583

IMPORTANT: Group listings will appear immediately; however, if your check is not received within 10 days, we will deactivate your listings until payment arrives. Thank You!

By clicking below, you agree that no refunds will be given for discontinued groups. Your subscription will run through the end of the time-period you select.







Want your Advertising Banner in this space? Email admin@findgrouptherapy.com


FindGroupTherapy.Com is a directory of therapy groups led by licensed and pre-licensed mental health professionals. Therapy groups can be searched by city/state or by category, and can be found throughout the United States. Group therapy topics include addiction, anger, anxiety, chronic pain, depression, divorce, domestic violence, eating disorders, parenting, teens, children, recovery, women's issues, men's issues, ADHD, financial issues, general therapy issues, intimate relationships, and much more.

Webmaster: Linda J. Engelman, Licensed Marriage & Family Therapist, MFC#46255, http://www.bayarea-therapist.com, (925) 295-1036
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