Open Groups

Most Healthcare Insurance Plans accepted. Contact us for more information.

Start date: March
Fridays 12pm
Group Demographic: Black Women

Start date: March
Tuesdays 7pm
Group Demographic: Parents of infants/children/adolescents

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.