EDRS Free Support Group Signup

Free Adult Virtual Support Group

Wednesdays 4:00-5:00 EST

This Eating Disorder Recovery Specialists Support Group has been created to support all individuals 18+ who are seeking additional community support in recovery.

This group is open to current EDRS clients and those outside of EDRS who would benefit from additional support in navigating recovery. This is an open group, meaning you can attend as needed.

We ask you please complete this form prior to each group you intend to attend. The Zoom information is subject to change and this will allow for the best notice of this.

After submitting this registration form you will be provided with the Zoom meeting link and password to enter the group on the registration completion page. We will accept registration forms up until 3:30 on Wednesdays. In order to prepare for an approximate amount of attendees each week, we kindly ask you to join the following week's group if you are not able to submit the form before 3:30 on Wednesday.

This group is led by Kelly Kyriacou, LMHC

Please follow the link below to review information about Zoom and download to your device.

Zoom

Please email admissions@edrs.com with any questions!

Attendee Information

In this registration form, we do ask for the address of where you will be located and additional contact information for this week's virtual support group.

We require this information so that we can send emergency services to you if you are in immediate physical harm or have a medical emergency. In a mental health emergency, we will make every effort to contact your emergency contact before calling 911. This information will not be shared and will not be used for any other purpose.

Participant Name*

First Name

Last Name

Date of Birth*

Please note this group is for clients 18 and older

Email Address*

How did you hear about this EDRS Support Group?

Address location of where you will physically be for this week's group. *

Address Line 1

Address Line 2

City

State

ZIP Code

Phone*

Emergency Contact Information

We are requesting emergency contact information in case you experience a health emergency during the program. In the case of an emergency, we will contact your emergency contact so that we can link you to crisis services and/or your support system. This information will not be shared and is protected by HIPAA. This will not be used for any other purpose.

Emergency Contact Name*

First Name

Last Name

Emergency Contact Phone Number*

Virtual Support Group Guidelines

Confidentiality

The therapists leading this group are bound by law to maintain confidentiality. There are certain exceptions to confidentiality, which includes if your facilitators feel you are a threat to yourself or others or if you report information indicating that a child, elderly person, or person with a disability is suffering abuse or neglect.
As group members you are not bound by the same laws and ethical standards. However, in order to create a safe and open space we ask that you honor the same confidentiality by keeping what is said in the group confidential. You can share your own experiences of the group and what you have learned through the group with others, just not personal details about other group members.
We additionally ask that you attend the group in a private setting and use headphones if you are close to others in your home or in a public space.

Attendance

We will begin each session promptly Wednesdays at 4:00pm EST in order to make use of the entire hour.
Please respect the group by being on time.
If you are having issues connecting to the group, causing you to be late, then we respectfully ask you not to attend this group in order to avoid interruptions. Please let us know if you continue to have technical issues, so we can ensure you are set up for the next group session.
We request that you have video functioning available and turned on throughout the group session.

Group Safety

In order to maintain a safe and open space we ask that you do not use alcohol or other non-prescription drugs before or during the group.
We reserve the right to ask participants to leave the group if there is concern for group safety or inappropriate commentary.
For the safety of the group we ask that you do not share the meeting link with anyone. If you know of individuals who would benefit from this group you can send them the link to this form to complete.
This support group is created to provide support and a community for individuals committed to recovery and processing the barriers and struggles that occur during recovery . In order to maintain boundaries and keep the group safe for all members we ask that you refrain from discussing the following topics directly in group:
- Your or another individual's weight
- Avoid specific details about your meal plan.
- Specific symptoms or details of behavior use. (For example, you can say "I have been struggling with 'behaviors' or 'urges'" but not further details about the behavior).
- Specific talk about treatment centers. (For example, you can say “treatment” or in a “past treatment center”)
- If these are topics you feel need more attention then please discuss in your 1:1 sessions with your treatment team. We have found overtime that in the group setting discussing these topics in detail can cause the group discomfort or derail away from the goal of the group.

Please sign below acknowledging that you have read and agree to the guidelines of the group*

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Use your mouse or finger to draw your signature above

Group Access Information

Thank you for your registration to Eating Disorder Recovery Specialists Free Virtual Support Group!

Group meets weekly on Wednesdays at 4:00pm EST

Information to join the Zoom meeting is below:

NEW Zoom Meeting Link starting Feb 28, 2024:
https://edrs.zoom.us/j/87939688164

Meeting ID: 879 3968 8164

Password: SUBMIT THIS FORM TO RECEIVE THE PASSWORD FOR THE ZOOM ROOM.

Please keep this information private and confidential. We request a registration form be completed prior to each group you attend in the event the Zoom information has changed or for updates about that week's group

Thank you and any questions let our team know!

info@edrs.com

Please check here acknowledging you have saved the Zoom link and meeting ID above and that you are aware the password will show on the next page after pressing "submit." You will need this password to gain access to the group

Please check here acknowledging that you will not share this Zoom information and you understand that you will complete a new registration form prior to each week you plan to attend.