CounselingSeattle.com is making programming
changes and temporarily cannot accept any new ads.
See CounselingSeattle.com
status report page.
Advertising Your Therapy Group
For each group, print out this page, fill it out, sign it and mail it with your check
to:
Floyd Else, Webmaster (425) 643-7434
CounselingSeattle.com,
PO Box 6714,
Bellevue, WA 98008-0714
Name of the group:
___________________________________________________
Who should participate:
________________________________________________
_____________________________________________________________________
What client problems will be addressed by this group?
_________________________
______________________________________________________________________
Location:
______________________________________________________________
Starting date: ___________________
(unless the group already exists and is ongoing.)
Frequency of group meetings?:
weekly, every other week, or specific dates
_______________________________________________________________________
Costs for participating in the group: $
____________________
Is there a screening fee?
YES NO
(circle one) Amount $ __________
Contact person: ____________________________
(______)____________
Name, professional initials
area code, telephone number
2nd (if any)
Contact person: ____________________________
(______)____________
Name, professional initials
area code, telephone number
Name of presenter or group leader:
______________________________________
Qualifications or licensure:
_____________________________________________
Your email address:
________________________________ (for communicating about the ad.
It will not be included in the ad unless you specifically request it
(not recommended).
Signature: ________________________________
Date: ________________