Group Registration Form — Healing Point Counseling Tacha Kasper

Yeah!!

I’m SO excited that you want to

join group and START HEALING!!

Please enter your information to apply for group and reserve your spot.

You will be contacted within 2 business days to complete the registration process.

Name

First Name

Last Name

Email Address

Phone

(###)

###

####

Reserve my spot in:

Women's Empowerment Group

EMBRACE Intimacy Group

Chronic Illness Group

Other

Message

CALL 949-272-0729

TACHA KASPER MA, LMFT #121281

NOTICE: ALL SERVICES ARE VIA TELEHEALTH (ONLINE OR PHONE)

Serving ALL of California

Providing counseling and therapy for individuals, couples, children, teens and families in Huntington Beach, Newport Beach, Costa Mesa, Santa Ana, Irvine, Newport Coast, Tustin, Fountain Valley, Brea, Mission Viejo, Laguna Beach, Laguna Hills, Aliso Viejo, Orange, Westminster & surrounding Orange County area. Chronic pain and illness, pain management, cancer and psycho-oncology, women's health issues, support groups, group therapy, courses and workshops. Online therapy available for all California residents.

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