New Paradigms Therapy Group Registration Form

There are three closed 8 group sessions in 2020 and I am signing up for:

January 4th to April 18th, 2020
May 2nd to Aug 22nd, 2020
September 12th to December 19th, 2020

The payment options are: *

1) Initial Assessment (Only for first time members for New Paradigms group)
2) a payment of $456.00 before the 8 group session for a (5% prepaid discount
3) a payment of $240.00 at the beginning of the session and $240.00 halfway through the 8 group session.

New Checkboxes *

I understand that this is a non-refundable fee that is required regardless of attendance.

First time members need to complete a 90-minute psychotherapy assessment ($200.00) before they start a group. I will review, complete, sign and bring the New Paradigms Therapy Group Agreement Form to my initial assessment session.

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469-854-1656
HealthyLifestylesPLLC@gmail.com

Allen Location
550 S.Watters Rd Suite 136
Allen, TX 75013

Nimisha Patel provides psychotherapy and nutrition therapy to adults struggling with Anxiety, Depression, binge eating and compulsive overeating in Allen TX.

Healthy Lifestyles PLLC
HealthyLifestylesPLLC@gmail.com | 469-854-1656

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