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Home
About
Our Beliefs
Our History
Church Officers
Resources
CONNECT
Service Sabbath
MINISTRIES
Digital Evangelism Ministry
>
The Advent Collective
Family Life Ministry
>
Children's Ministry
Women's Ministry
The Healing Ministry
>
Health Expo
Depression & Anxiety Recovery Program
Marty Anderson Scholarship
Music Ministry
Prayer Ministry
Young Adult Ministry
Watch Live
Messages
Events/Calendar
Give
E-Bulletin
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In case of emergency, please provide a person you would like to have contacted:
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I Have Internet Access
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How Did You Learn About This Program?
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If other, please describe
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Highest Level of Education
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Religious Preference or None
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Occupation
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Are you currently being treated by a physician?
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Are you currently seeing a therapist or counselor?
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Have you ever attempted suicide?
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If yes above, how long ago?
*
Are you considering suicide now?
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What is the main reason you want to take this course?
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To improve my mental health
To learn more about mental health
To better support a loved one
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If you are registering with another individual for the companion price, please list the name of your companion below:
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Please read the following statements and check the box beside each statement to acknowledge you have read and understood each statement.
I recognize this is a mental health education program and is not a therapeutic program and cannot substitute for physicians, professional counselors, or mental health providers.
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I have read and understood the above statement
I understand that attending this educational program does not establish a physician-patient or therapist-client relationship and I will not make medication or treatment changes without consulting my healthcare practicioner.
*
I have read and understood the above statement
The community Nedley Depression and Anxiety Recovery Program is a unique educational program that teaches the causes of depression and anxiety. I understand that the program staff are providing an educational service only and I do not hold them responsible for my mental health and wellbeing
*
I have read and understood the above statement
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