Skillful Parenting

INTEREST FORM

Thank you for your interest in our group! Please complete the information below to be notified when registration opens for the next cohort. Our team will follow up with an email two weeks in advance of the next cohort to begin the registration process.

Name*

First Last

Email Address*

Phone Number*

What is your number one goal for participating in this program?*

The Mass General Brigham standard is to send email securely. This requires you to initially set up and activate an account with a password. You can then use the password to access secure emails sent to you from Mass General Brigham. If you prefer, we can send you "unencrypted" email that is not secure and could result in the unauthorized use or disclosure of your information. If you want to receive communications by unencrypted email despite these risks, Mass General Brigham will not be held responsible. Your preference to receive unencrypted email will apply to:

For research: Emails sent to you from research staff in this study. If you wish to communicate with other research staff at Mass General Brigham regarding additional studies, your preference will have to be documented with each research group.

For clinicians: Emails sent from clinicians and staff at this practice or department.

Permission to email unencrypted messages?*

Yes