Apply for the Group

We look forward to meeting with you

Complete the brief application and schedule a 15-minute enrollment call. Your place is confirmed only after payment.

Name *

Email address *

Phone number *

State of Residence *

What concerns you most about your phone use? *

What would you like to change during the eight weeks?

Can you attend Mondays at 7:00 p.m. ET for eight weeks? *

Are you seeking a wellness group or treatment for a mental health condition? *

How did you hear about the program?

Select a date and time *

Select a date and time

September 2018

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Snows Therapeutic Services LLC