DBT SKILLS GROUP INTEREST FORM

Please complete the interest form for the DBT skills group below. Please note that completing this form does not guarantee placement in a DBT skills group. We will do our best to accommodate all interested individuals.

Please allow for up to 48 business hours to receive a response.

Important Crisis & Safety Notice

This form and the responses submitted through it are NOT monitored for crisis or emergency care. Submission of this form does not provide immediate access to a therapist, crisis intervention, or emergency mental health services.

This DBT Skills Group is designed for individuals who are appropriate for routine outpatient mental health care. Individuals who are currently experiencing a mental health crisis or who require crisis stabilization or a higher level of care are not eligible for this program at this time.

If you are experiencing a mental health crisis, are in immediate danger, or believe you may harm yourself or someone else, do not use this form to request help.

For immediate support:

• Call or text 988 to reach the Suicide & Crisis Lifeline, available 24/7.

• Call 911 or go to your nearest emergency department if you are in immediate danger or need emergency assistance.

Submitting this form does not establish a therapist-client relationship with Oddesty K & Associates Counseling & Wellness and should not be used as a substitute for crisis or emergency services.