The Healing Collective offers psychotherapy, therapeutic coaching, clinical supervision, and racial equity consultation services to individuals (youth, adolescents and adults), couples, groups, and organizations in the Greater New York area and beyond.

Heartspace Group Interest Form

Name

First Name

Last Name

Gender Pronouns

Gender pronouns are how you'd like people to refer to you. Freedom's pronouns are they, them, and theirs.

Phone

(###)

###

####

Location

What city and state do you live in?

What are you hoping to gain from this group?

We expect the group to run at one of the following times. Which, if any, can you attend for an 8 week group?

Note: if no options work for you, we still encourage you to submit this interest form as there may be some flexibility.

Wednesdays, 5-6:30p ET

Fridays, 12-1:30p ET

Sundays, 10-11:30a ET

I could make any of these options work

None of these options work for me

How did you learn of our services?

To learn more about the group’s facilitator:

Meet Freedom »

To learn more about us:

Meet The Healing Collective »