Class Online Registration and Payment

Brave Parenting Class (registration open)

Registration for the 9 week Brave Parenting course is now open! This weekly course will be offered at 12pm starting on Tuesday March 12th. Fore more information about the Brave Parenting class, visit the Brave Parenting page
 

DBT Skills Class (registration open)

Registration for the 8 week Interpersonal Effectiveness module and will begin on the week of March 11th. For more information about the DBT skills class and class policies, visit our skills class page.
 
 
Important registration information for patients with outside therapists (not associated with Peachtree DBT):
  • Make sure to select the outside therapist option at the bottom of the form. (Form is currently unavailable as registration is now closed)
  • Please complete and return the outside therapist paperwork (linked here) prior to the start of class. 

 

Patient Information
Participant's Name.
If participant is under 18, name of parent or guardian.
Optional. If the participant's phone is different than the payer's.
Please select the class you wish to attend.
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.
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.
Payment Details
Person who will be submitting payment
** PLEASE READ FOR 8 WEEK DBT SKILLS CLASSES: If the patient's therapist is not a part of Peachtree DBT, please choose the "Outside Therapist" option.** The additional fee is 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.
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