Contact – BCS Group Therapy

Talk to us

Talk to us, we are here to help and make your journey with our online support groups seamless.

If you have any questions, or would like to register for one of our groups, please complete the form below – we will be in touch shortly.

Name *

First

Last

Phone *

Email *

Address

Address Line 1

City

State

Zip Code

Date of Birth *

You are, or have previously been a BCS Counseling client: *

You are interested in the following support group: (You may only join 1 group at a time.)

I have a question:

When is the best time to call you? (between 9am-6pm, Mon-Fri) *

It will be about a 10 minute intake call, to collect all information needed to confirm suitability for the group.

Insurance Details: Provider / Plan / Number: *

Please state N/A if self pay.