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What level of care do you provide?
 
Inpatient
 
PHP
 
IOP
 
Outpatient Hospital
 
Outpatient Medical Group
 
Other
 

 
 
 
What population do you currently serve?
 
Geriatrics
 
Adults
 
Young Adults
 
Adolescents
 
Children
 
Other
 

 
 
 
What evidence based practice do you currently utilize? (select all that apply)
 
DBT
 
CBT
 
Interpersonal Therapy
 
Family Systems
 
Postive Psychology
 
Medication Management
 
Psychodynamic
 
Play Therapy
 
Mindfullness based cognitive therapy
 
Social Skills Training
 
Psychoeducation
 
Other
 

 
 
 
What areas are you interested in further training or information in?
   
 
 
 
What kind of materials (e.g. workbooks, manual, handouts) are you currently using?
   
 
 
 
Comments
   
 
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