DBT Summer Boot Camp

June and July Summer Boot Camps (Registration open!)
 

Still want to bulk up or brush up on your DBT skills? Our “Boot Camp” style classes consist of a one-day mindfulness seminar and three different four-day skills modules (Distress Tolerance, Emotion Regulation, Interpersonal Effectiveness). You can choose which modules to take or complete all four DBT modules in a month! Learn more about our Boot Camps including dates and times.

$185 | Mindfulness Seminar
$595 | Per 4 Day Boot Camp Module 
 
Patient Information
If participant is under 18, name of parent or guardian.
Name of participant's current individual therapist within Peachtree DBT or within the community. Additional forms will be requested for those participants with a therapist within the community.
Participants with outside therapists are required to complete and return outside therapist paperwork prior to the start of class. Participants with outside therapists cannot attend class without completion of outside therapist paperwork.  
Optional. If the participant's phone is different than the payer's.
If participant is a student, please enter the school or university where he/she is currently enrolled.
Please note participant's grade level if applicable.
Class Type and Preferences
Please select the class you wish to attend.
Please select the class(es) to attend. Remember that the mindfulness seminar is required for participants who have not attended a past DBT skills class.
It is required to enroll the the mindfulness seminar if you have not yet attended a DBT skills class. It is additionally recommended to attend the seminar prior to the selected Boot Camp(s).
Payment Details
Person who will be submitting payment
$
For the 8 week DBT Skills Class: If the patient's therapist is not a part of Peachtree DBT, there is an additional fee ($80) due to weekly correspondence and case management between the DBT class instructor and primary therapist.
I agree and consent to participation and the terms and conditions. I understand my registration will not be complete until payment is received. I also understand and agree that if I miss any or drop out of class for any reason, I will not be reimbursed.
Reminder
Participants with outside therapists are required to complete and return outside therapist paperwork prior to the start of class. Participants with outside therapists cannot attend class without completion of outside therapist paperwork.