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Please check the following boxes if they apply to you

I was advised to enroll in a DBT program.

I would like to start DBT therapy immediately.

I have been enrolled in a DBT program in the past.

I am currently meeting with a DBT therapist.

I am currently experiencing suicidal thoughts or self-harm urges or behavior.

Which program are you most interested in?

Adult (18+)

Teen (14-18)

Pre-Teen (11-13)

Parent

Other

Please briefly describe your interest in Dialectical Behavioral Therapy (DBT) or therapy in general.

I agree to receive communcation from "The DBT Center of Utah" including information about The DBT Center programs.