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HOW TO WALK PAST CHOCOLATE Sunday, June 15th, 2017, 12pm – 2pm

Introductory Coaching Session

To make an appointment, contact Alison at alison@centerforeatingrecovery.com or by text/email at 323-620-4600

Private Coaching for Adults, Teens & Families

To make an appointment, contact Alison at alison@centerforeatingrecovery.com or by text/email at 323-620-4600

Group Sessions In-Person Wednesday 7:00pm-8:15pm PT

HEAL THE HUNGRY BRAIN

Your Name (required)

Your Email (required)

What Date Would You Like to Start? ***FORMAT 01-20-2016** (required)

Price : Price includes the first, four weekly sessions

I authorize Center for Eating Recovery to store my credit card information to be charged at the beginning of each month.

Please add me to your newsletter so that I can receive health information, specials and updates about upcoming events. (We have not and will not sell your information.)

REFUNDS :

Please note that refunds will not be given for missed sessions. If you wish to discontinue the group, notify the facilitator before the next billing cycle (first day of each month).

I have read and understand the refund policy

Your Name
Date ***FORMAT 01-20-2016**

Online Support

Participants in the course are invited to participate in group texting where daily support is offered through interaction with peers and group facilitators. If you wish to participate, please sign the consent below:

I understand that there are risks involved in group texting, including, but not limited to, the possibility that (despite reasonable efforts on the part of the Center and psychotherapist) the transmission of my information could be disrupted or distorted by technical failures; the transmission of my information could be interrupted by unauthorized persons; and/or the electronic storage of my medical information could be accessed by unauthorized persons.

I understand that participation in group texting is optional. If I decide to participate, I accept the risks of participation as detailed above:

Your Name
Date ***FORMAT 01-20-2016**

Group Sessions In-Person Thursday 12:30-1:45pm PT

HEAL THE HUNGRY BRAIN

Your Name (required)

Your Email (required)

What Date Would You Like to Start? ***FORMAT 01-20-2016** (required)

Price : *Price includes the first, four weekly sessions.*

I authorize Center for Eating Recovery to store my credit card information to be charged at the beginning of each month.

Please add me to your newsletter so that I can receive health information, specials and updates about upcoming events. (We have not and will not sell your information.)

REFUNDS :

Please note that refunds will not be given for missed sessions. If you wish to discontinue the group, notify the facilitator before the next billing cycle (first day of each month).

I have read and understand the refund policy

***FORMAT 01-20-2016**

Online Support

Participants in the course are invited to participate in group texting where daily support is offered through interaction with peers and group facilitators. If you wish to participate, please sign the consent below:

I understand that there are risks involved in group texting, including, but not limited to, the possibility that (despite reasonable efforts on the part of the Center and psychotherapist) the transmission of my information could be disrupted or distorted by technical failures; the transmission of my information could be interrupted by unauthorized persons; and/or the electronic storage of my medical information could be accessed by unauthorized persons.

I understand that participation in group texting is optional. If I decide to participate, I accept the risks of participation as detailed above:

***FORMAT 01-20-2016**

Group Sessions Online Wednesday 5:30pm-6:45pm PT

HEAL THE HUNGRY BRAIN

Your Name (required)

Your Email (required)

What Date Would You Like to Start? ***FORMAT 01-20-2016** (required)

Price : *Price includes the first, four weekly sessions.*

I authorize Center for Eating Recovery to store my credit card information to be charged at the beginning of each month.

Please add me to your newsletter so that I can receive health information, specials and updates about upcoming events. (We have not and will not sell your information.)

REFUNDS :

Please note that refunds will not be given for missed sessions. If you wish to discontinue the group, notify the facilitator before the next billing cycle (first day of each month).

I have read and understand the refund policy

Your Name
Date (Format example: 01-20-16)

Online Support

Participants in the course are invited to participate in group texting where daily support is offered through interaction with peers and group facilitators. If you wish to participate, please sign the consent below:

I understand that there are risks involved in group texting, including, but not limited to, the possibility that (despite reasonable efforts on the part of the Center and psychotherapist) the transmission of my information could be disrupted or distorted by technical failures; the transmission of my information could be interrupted by unauthorized persons; and/or the electronic storage of my medical information could be accessed by unauthorized persons.

I understand that participation in group texting is optional. If I decide to participate, I accept the risks of participation as detailed above:

Your Name
Date (Format example: 01-20-16)

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© 2019 Center For Eating Recovery

28328 Agoura Road, Suite 201 Agoura Hills, CA 91301

alison@centerforeatingrecovery.com

818-630-1730

REFUNDS :

To make an appointment, contact Alison at alison@centerforeatingrecovery.com or by text/email at 323-620-4600

HEAL THE HUNGRY BRAIN

REFUNDS :

Online Support

HEAL THE HUNGRY BRAIN

REFUNDS :

Online Support

HEAL THE HUNGRY BRAIN

REFUNDS :

Online Support