Resiliency Rising Intake Form Thank you for your interest in therapy with Resiliency Rising. We offer trauma- and resiliency-informed virtual therapy for individuals and groups across Idaho.This brief form helps us learn how to best support you.All information is strictly confidential. Full Name *Email Address *PhoneAre you currently located in Idaho? (We are only able to see clients who reside in Idaho at this time.) *YesNoOtherWhat are you interested in? (Select all that apply) *Individual TherapyGroup TherapyClinical PositionsWorkplace Resilience TrainingsNot sure - I'd like guidanceOtherWhat brings you to therapy right now? (Check all that apply) *Stress/OverwhelmTrauma-Related ConcernsAnxiety or DepressionLife TransitionGrief or LossOtherSubmit
