Eating Disorder Support Group — AMALY

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Workshops/Trainings

Insurance & Rates

Folder: Services

Couples & Family

Workshops/Trainings

Insurance & Rates

Folder: Bookings

Folder: Get Involved

Eating Disorder Peer Led Support Group

Every Thursday and Sunday of the Month of September

Time: Sundays - 5PM PST and Thursdays - 6PM PST

Fee: $20/Month (One time fee for all sessions in September)

*Please note: This is a support group and not a clinical therapy group.

If you have any questions please do not hesitate to contact us.

Name *

First Name

Last Name

Email *

Phone *

(###)

###

####

Birthday *

MM

DD

YYYY

Are there specific days you plan to attend? *

Thursdays at 6PM PST

Sundays at 5PM PST

I might attend both days

I am not sure yet

Do you identify as a Muslim? *

Marital Status *

Are you over the age of 18? *

This group is only open to ages 18+

What personal goals do you have for this support group and why are you signing up? *

Are you currently seeing a mental health therapist? *

Anything else you want us to know about you?

How did you hear about this group?

Instagram post/story

Word of mouth

Facebook post/story

Website

Other

Are there any questions or concerns you have about this group or our organization?

AMALY charges a one time fee of $20 to help run our support group services. This fee will cover as many sessions you would like to attend throughout the month of September 2022. You may contact us if you have any questions about this fee. Do you acknowledge this notice? *

Yes

Thank you!

Our Mission is to Serve and Strengthen the Mental, Physical, and Spiritual Health for Muslims and other cultural communities.

Amaly is a 501(c)(3) Nonprofit Organization.

www.amaly.org | San Diego, CA | Tax ID: 85-1532581

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