Purpose
This registration is part of your clinical record for the administration of the Compassion & Capacity Psychotherapy Group from Sept 21-Nov 2 2026.
Your responses are confidential. By completing this registration you are consenting to the collection of this information. This platform (Simple Survey) and Jane App Practice Management are PHIPA compliant.
Your participation in this psychotherapy group is completely voluntary.
Responses will be used solely for administration purposes and will be used to create your client profile in Jane App Practice Management and register you for the Compassion & Capacity Psychotherapy group. You will then receive intake paperwork and payment instructions. Your email and contact informaiton will not be shared.
If you have any questions about this registration, please contact Stacey Ivits (stacey@staceyivits.com)