Fall 2021 Deep Recovery 2.0

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Deep Recovery 2.0 - Fall 2021

A faith-based 12 week course, informed by neuroscience and teaching the skills needed for life-long liberty. This course is for anyone struggling with unwanted behaviors and harmful thinking patterns.

Workbooks are provided. Dinner is provided free and childcare is available with advance notice.

(If you are an active narcotics user we recommend in-patient treatment of at least 90 days before attending this course.)

Name

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Email

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Phone

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Address

Childcare needed?

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Please select all that apply.

Yes No Occassionally

Reasons for attending

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Please select one option.

Professional/general interest Addiction Mental Health Self-improvement

Do you currently suffer from substance misuse?

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yes no sometimes

Are you seeing a therapist now?

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Yes No Past

Do you take medication for anxiety, depression, or other?

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Yes No Sometimes

Tell us a little about your reasons for attending:

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Emergency Contact

Doctor/Therapist Name:

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Doctor/Therapist Phone

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Permission to contact doctor in emergency

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Yes No Option

Emergency Contact Name:

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Emergency Contact Phone

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Description

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