Mindfulness Sessions

Name *

First Name

Last Name

Phone (if ok to leave message)

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Type of Appointment-check all that apply

Single session 75 min ($160)

Mindfulness Session (50 min) $125

Mindfulness Package (4 sessions and audio) $400

Mindfulness Class ($50)

Off site Mindfulness Class or Group ($300/hour)

Referral Source

Please let us know how you learned about our office.

Website

Family or friend

Colleague

Primary Care Physician

My therapist

I'm a current PSM client