480-668-8301
1745 S. Alma School Rd Suite 230
Mesa, AZ 85210
  Toll Free: 1-800-614-8142

DBT Adult Group Interest list 

Participants must first meet with a DBT Group counselor to do a counseling session for assessment of appropriateness for the program.

First Name :
Last Name :
Phone Number: :
Email Address: :
What is the best way to get in touch with you? :  Phone     Email
     
Please select all that apply:    
      
 I want to be notified when the new group begins :      I want more information about DBT, and if it's a right fit for me. 
 I need someone to contact me about the billing of this group

:

 

 I am interested in DBT group but I need to start right away.
I can only participate on *select all that apply* :

Monday  

Tuesday  

Wednesday  

Thursday  

Friday  

Saturday (AM)

Saturday (PM)