Join Us Form – Blue Skies Rhode Island

We are hoping that we might be able to see you at one of our coming small group discussions with an anxiety care giver. Participants in these small group events may share confidential information. Will you agree to hold confidential anything that other participants share in discussions?

Please fill out this form so that we can stay in touch as our programs develop.

Preferred Name(Required)

Email(Required)

If possible, please provide a phone number we can text for meeting cancellations.

Are you looking for help for a loved one (Blue Skies RI does not make referrals to medical doctors or psychologists)?(Required)

Yes

Not at this time

If an alternative or complementary care provider sounds right to you, are you willing to come to a group discussion?(Required)

Yes

What town are you in? We want to match local caregivers with local interest.(Required)

If you have had experiences with alternative or complementary care providers, please tell us about those experiences.