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Are You a Good Fit for Burnout Group Counseling?

Welcome friend! Let’s Find Out!!

- Thanks for your interest in the Burnout Process Group in Boise. This short form helps us make sure we’re a good match. Just a few quick questions so I know if the group can help you.

- This group works best with clients who are ready to slow down and examine the patterns driving their burnout, curious about themselves and others, and committed to change.

- If you are ready to speak honestly about stress and exhaustion, curious about healthier ways of living and relating, and committed to showing up consistently for themselves and the group process... you're in the right place :)

Your full name:

Your state of residence:

Your email address (no spam):

Your phone (no spam):

How did you hear about Katharine or the group?

How did you hear about Katharine or the group?
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You understand that Katharine can provide counseling to residents of California, Idaho and Texas, but if you reside outside of those states, you are signing up for coaching:

You understand that Katharine can provide counseling to residents of California, Idaho and Texas, but if you reside outside of those states, you are signing up for coaching:
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B

The time for this group session is tentatively set for Thursdays at 2pm MST. Can you make this window work to meet for 1 hr every week?

The time for this group session is tentatively set for Thursdays at 2pm MST. Can you make this window work to meet for 1 hr every week?
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B

Katharine accepts insurance for this group and takes the following insurances: Aetna, Cigna, Carelon Behavioral Health, Quest Behavioral Health, Anthem Blue Cross Blue Shield, UnitedHealthcare, UnitedHealthcare / Golden Rule, GEHA (UHC), Blue Cross Blue Shield Federal Employee Program, Regence BlueShield of Idaho, Regence BlueShield of Idaho Medicare Advantage, Regence BlueCross BlueShield (OR, UT, ID, WA regions), Blue Cross of Idaho, PacificSource, Mountain Health Co-op, St. Luke’s Health Plan. Which, if any, of these insurances would you like to use for this group?

You understand Katharine's rate for self-pay for this group is $62 per session:

You understand Katharine's rate for self-pay for this group is $62 per session:
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B

If you'd like to use insurance for video sessions, please indicate your insurance carrier, and if you feel comfortable, your policy numbers so I can check your benefits and copay:

What would you like to discuss in meetings with me? (Even a vague idea is okay:)

How would things look a month from now if you felt more in control of your situation? What would be different...?