The Academy of Medical & Public Health Services is pleased to provide you with group counseling services. Please complete this short form if you are interested in participating. After receiving your information, we will contact you by phone within one week to schedule your first meeting and begin the intake process. Note that all questions with an asterisk (*) require a response.
安服心很高兴为您提供免费的放松治疗小组课程。如果您有兴趣参与,请填写此简短表格。收到您的信息后,我们将在一周内通过电话与您联系,安排您的第一次会议并开始录取过程。请注意,所有带星号 (*) 的问题都需要回答。
Please note:
1. We only accept self-referrals. (If you are completing this form on behalf of someone else, please ensure the individual has consented to these services and is aware of this form being completed.)
2. Our counseling services are not intended for crisis intervention. If you are experiencing an emotional crisis, call 988 24 hours a day, 7 days a week for immediate support from a counselor or 911 if you need hospitalization.
请注意:
1. 我们只接受自我推荐。 (如果您代表其他人填写此表格,请确保该个人已同意这些服务并知道此表格被填写完成。)
2. 我们的咨询服务并非用于危机干预。如果您遇到情绪危机,请致电 988 联系7天/24小时以获得即时支持; 如果您需要住院,请致电 911。