booking out patient programmes form - aiseiri

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Aiséirí Addiction Treatment Services Gambling erapy and Out Patient Programmes Aiséirí Aislinn Ballyragget Co. Kilkenny Tel: 056-8833777 Aiséirí Townspark Cahir Co. Tipperary Tel: 052-7441166 Aiséirí Roxborough Co. Wexford Tel: 053-9141818 Aiséirí Ceim Eíle 1 Glen Cara Ballybeg Waterford Tel: 051-370007 Email: [email protected] Web: aiseiri.ie Booking Form Design & Print by Modern Printers: 056 7721739 Version No 175, 2014-2016

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Page 1: Booking Out Patient Programmes Form - Aiseiri

Aiséirí Addiction Treatment Services

Gambling Therapy and

Out Patient Programmes

Aiséirí AislinnBallyragget

Co. KilkennyTel: 056-8833777

AiséiríTownspark

CahirCo. Tipperary

Tel: 052-7441166

AiséiríRoxboroughCo. Wexford

Tel: 053-9141818

Aiséirí Ceim Eíle1 Glen Cara

BallybegWaterford

Tel: 051-370007

Email: [email protected] Web: aiseiri.ie

Booking Form

Des

ign

& P

rint b

y M

oder

n Pr

inte

rs: 0

56 7

7217

39

Version No 175, 2014-2016

Page 2: Booking Out Patient Programmes Form - Aiseiri

Aiséirí Problem GamblersFamily Programme 2014

Aiséirí now offers a weekend residential programme for families or others concerned with someone who is developing or has developed a gambling problem. The programme is based in our unit in Cahir Co. Tipperary.

The programme runs from Friday– Sunday and is limited to 8 participants. The course consists of 1:1 counselling sessions, group therapy sessions and workshop /presentations on the following issues:

l Self-Care & Self-Identityl The Wheel of Change Model for Problem

Gamblersl Stress Management & Debt Managementl Coping with Changel Identifying Gambling Triggersl Ambivalence & Deniall Community Supports

To apply for a place please contact Paul Mullins on 056-8833777/083-4516162, email [email protected] complete attached booking form and return to:

Paul Mullins, Aiséirí Aislinn Centre, Ballyragget, Co. Kilkenny

Aiséirí Residential Programme for Problem Gamblers

A one week intensive therapy residential programme specifically designed for problem gamblers.

Based in Ballyragget Co. Kilkenny, this new service for problem gamblers is the first of it’s type in Ireland and is delivered by experienced and professionally accredited counsellors.

Programme will include all meals, daily refreshments and all course materials.

Alcohol/Drug/Gambling Treatment Out-Patient Day Programme

Aiséirí offers an out-patient recovery programme based in Waterford. l Programme will be delivered in a safe

confidential environmentl The course runs over an 8 week period half

day and one evening per weekl Individual 1:1 counselling sessions.l Group Therapy Sessionsl The course presenters are experienced and

fully accredited addiction counsellorsl Tea/coffee, refreshments and all course

materials are included in the cost

Deposit of €100.00 is required upon application for each programme.

Booking Form

Name: ______________________________

Address: ____________________________

____________________________________

____________________________________

Telephone: __________________________

Email: ______________________________

Deposit: €100.00 _____________________

Select which programme you wish to attend:

Please Tick the box

Weekend Residential Programme

One week Residential Programme

Out-Patient Day Programme

Easy Payment Option available.