Which of our courses/workshops would you like to sign up for?
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Putting Yourself First: Understanding Self-Care
Trauma, Shame & Self-Care
Understanding and Coping with Feelings of Anxiety
Understanding Emotions with a Focus on Anger
What is the date/start date of the course/workshop you would like to sign up for?
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Please select the date from the list on the individual course/workshop's page
MM
DD
YYYY
Name
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First Name
Last Name
Address
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Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Date of Birth
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MM
DD
YYYY
Registered GP Surgery
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I can't find my GP surgery
I am not currently registered with a GP surgery
Abbey Surgery
Adelaide Street Surgery
Albany Surgery
Armada Surgery
Ashburton Surgery
Axminster Medical Practice
Bampton Surgery, Amicus Health
Barnfield Hill Surgery
Barton Surgery
Beacon Medical Centre
Beaumont Villa Surgery
Bideford Medical Centre
Bishopteignton Surgery
Blackdown Practice
Blake House Surgery
Bovey Tracey & Chudleigh Practice
Bow Pedical Practice
Bradworthy Surgery
Bramblehaies Surgery
Brannam Medical Centre
Brunel Medical Practice
Buckfastleigh Medical Centre
Buckland Surgery
Budleigh Salterton Medical Centre
Budshead Medical Practice
Caen Medical Centre
Castle Gardens Surgery
Castle Place Practice
Catherine House Surgery
Chaddlewood Surgery
Chagford Health Centre
Channel View Surgery
Chelston Hall Surgery
Cheriton Bishop Surgery
Cheriton Fitzpaine Surgery
Chilcote Surgery
Chillington Health Centre
Christow Surgery
Chudleigh Health Centre
Church View Surgery
Clare House Surgery, Amicus Health
Clocktower Surgery
Coleridge Medical Centre
College Surgery Partnership
Combe Coastal Practice
Compass House Medical Centre (Brixham)
Compass House Medical Centre (Galmpton)
Corner Place Surgery
Cranbrook Medical Practice
Cricketfield Surgery
Croft Hall Medical Practice
Crownhill Surgery
Dartmouth Medical Practice
Dean Cross Surgery
Devon Square Surgery
Devonport Health Centre
Efford Medical Centre
Elm Surtgery
Ernesettle Medical Centre
Estover Health Centre
Exminster Surgery
Exmouth Health Centre
Foxhayes Practice
Fremington Medical Centre
Friary House Surgery
Glasshouser Medical Centre
Glendevon Medical Centre
Glenside Medical Centre
Haldon House Surgery
Hartland Surgery
Heavitree Practice
Hill Barton Surgery
Honiton Surgery
Ide Lane Surgery
Imperial Surgery
Ipplepen Health Centre
ISCA Medical Practice
Ivybridge Health Centre
Kingskerswell Health Centre
Kingsteignton Medical Practice
Knowle House Surgery
Laira Surgery
Leatside Surgery
Lisson Grove Medical Centre
Litchdon Medical Centre
Lynton Health Centre
Mannamead Surgery
Mayfield Medical Centre
Modbury Health Centre
Morchard Bishop Surgery
Moretonhampstead Health Centre
Mount Gould Primary Care Centre
Mount Pleasant Health Centre
Neetside Surgery
North Road West Medical Centre
Northam Surgery
Norton Brook Medical Centre
Oakside Surgery
Okehampton Medical Centre
Old Farm Surgery
Pembroke House Surgery
Peverell Park Surgery & University Medical Centre
Pinhoe & Broadclyst Medical Practice
Plympton Health Centre
Queens Medical Centre
Raleigh Surgery
Redfern Health Centre
Redlands Primary Care (Crediton)
Redlands Primary Care (Thorverton)
Riverside Surgery
Roborough Surgery
Ruby Country Medical Group
Sampford Peverell Surgery
Seaton & Colyton Medical Practice
Sidmouth Health Centre
South Brent Health Centre
South Lawn Medical Practice
South Molton Medical Centre
Southernhay House Surgery
Southover Medical Practice
Southway Surgery
St Leonards Practice
St Levan Surgery
St Neots Surgery
St Thomas Medical Group
Starcross Surgery
Stirling Road Medical Centre
Stoke Surgery
Stratton Medical Centre
Tavyside Health Centre
Teignmouth Medical Practice
Topsham Surgery
Torrington Health Centre
Townsend House Medical Centre
Treetops Surgery
Trelawny Surgery
Underhill Surgery
Wallingbrook Health Centre
Wembury Surgery
West Hoe Surgery
Whipton Surgery
Winkleigh Surgery
Witheridge Medical Centre
Wonford Green Surgery
Wooda Surgery
Woodbury Surgery
Wotter Surgery
Wycliffe Surgery
Wyndham House Surgery
Yealm Medical Centre
Yelverton Surgery
Phone Number
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(###)
###
####
Email Address
*
What are you hoping to achieve from this group?
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Please provide an overview of why you've chosen this group and what you're hoping to achieve from it, so we can make sure it's right for you.
If we need to contact you, how would you prefer to be contacted?
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By phone
By email
Either is fine
Do you have any communication needs we may need to know about?
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For example, you're hard of hearing or have difficulty reading emails, etc.
Yes
No
If you answered 'Yes' above, please state your communication needs below:
Do you have a current mental health diagnosis?
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For example, depression, anxiety, bipolar, etc.
Yes
No
If you answered 'Yes' above, please state your current diagnosis/es below:
Are you currently using any other mental health services?
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For example, private counselling, other support groups, etc.
Yes
No
If you answered 'Yes' above, please state which service(s) you are currently using below:
Where did you hear about our services?
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Community mental health team
Devon Mind letter/email
Devon Mind social media
Devon Mind website
GP/other medical professional
Plymouth Options
TALKWORKS
Word of mouth/recommendation
Don't know/can't remember
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