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• Winning the War Within - Eating Disorders for Teens Group

• This group is open to teenagers who are experiencing disordered eating. Managing these disorders can be confusing, draining, and painfully isolating. This group aims to help establish a support system and will follow a curriculum to spark ideas for discussion and recovery.
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• Tuesdays from 5:00-6:00PM on ZOOM

• Sessions will be conducted via Zoom

Facilitator(s): Tommy Kelly, CMHC Candidate and Heidi Marketich, Intern

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Most insurances will cover the cost of group sessions.
Speak to our Group Coordinator for questions regarding insurance or self-pay rates.

How to Join:
To inquire further about groups, please contact our Groups Coordinator at 603-865-1321 option 3.

Register for this Group

Who is completing this request? *

Please select an option Parent / Guardian Myself Service Provider

Your name
Agency name
Agency Phone Number	(do not include 1- prefix)
Agency E-Mail Adr
Is the individual aware you are referring them to this group?	Yes    No Please choose yes or no
May we contact you regarding this referral if needed?	Yes    No Please choose yes or no

Why are you interested in this group?
Participant First Name *
Participant Last Name *
Date of Birth * (mm-dd-yyyy)
Address*
Parents Name (if Client under 18)
Communication Preference	Phone    Email Please choose yes or no
Phone *	(do not include 1- prefix)
OK to Leave Message *	Yes    No Please choose yes or no
E-Mail Adr

Do you have Health Insurance ? *

Please select an option Yes I do No Insurance

Insurance Carrier *
Insurance ID# *

Secondary Insurance
ID Number
How did you hear about this Group? *
If you were referred to this Group, who referred you? *
(* required info)