Confidential Participant Registration

Thank you for completing this secure form. We will never spam you or sell or distribute your information. By registering, you are in no way obligated to complete our free pilot CBT program. We will contact you by October 1st to see if you are interested in participating. Please see our FAQ for more info. If you use this platform to match with a volunteer therapist, please keep in mind that we are not endorsing the therapists and you should individually vet their qualifications.