Thank you for your interest in our ARFID Group at Namaste Nourished! We’re honored you’re considering group support with us. Please take a few minutes to tell us more about yourself or your loved one. A member of our team will follow up with next steps.

Full Name *

First and last name of the person interested in the group

First Name

Last Name

Email *

We'll use this to follow up with you

Phone *

We'll use this to follow up with you

(###)

###

####

Who is this inquiry for? *

Myself

My Child

Someone Else

Age of the individual interested in the group:

Has there been a formal diagnosis of ARFID? *

Yes

In Process

Unsure

Briefly describe current food challenges or concerns: *

What are your goals or hopes in joining this group? *

Are you currently working with any professionals (e.g., dietitian, therapist, physician)? *

Availability *

Which of the following group times might work for you? (Check all that apply)

Weekday mornings

Weekday Afternoons

Evenings

Weekends

Other (select to specify)

Do you have any questions, concerns, or anything else you'd like us to know?

Thank you for filling out our form and considering group support with Namaste Nourished. A member of our team will be in touch within 2–3 business days to schedule a brief consultation and answer any questions. We look forward to connecting!

Next Steps:

Once you’ve submitted your inquiry form, a member of our team will be in touch within 2–3 business days to schedule a brief consultation and answer any questions. We look forward to connecting!

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ADMIN@NamasteNourishedLLC.com

Phone: (954) 641-2210 | Fax: (954) 827-3399

1915 NE 45th Street, Suite 210
Fort Lauderdale, FL 33308

5887 Glenridge Dr, Suite 230
Sandy Springs, GA 30328