Gottman Couples Group

Gottman Couples Group

Group Therapy - October 2nd - November 20th, 2024 Wednesdays 7:00 - 8:30 pm
The Seven Principles for Making Marriage Work

Includes lectures and private couples exercises for 12 hours over eight weeks. Insurance is accepted and there is a nominal fee for supplies (book, workbooks, and card decks).

Group will take place at our WWC Family Center

301 White Horse Pike

Haddon Heights, NJ 08035
Participant Name*

First NameLast Name
Please provide name of spouse/partner:

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Birth*

MonthDayYear
Date
Email*
example@example.com
Cell Phone*
Preferred Method of Contact*

E-mailCell PhoneText Message
Insurance Information
Most insurance plans will cover group therapy. Do you plan to use insurance for the group therapy fees?

YesNo
If yes, please provide the following information:
Insurance Carrier:
Member ID Number
Group Number
**If you plan to use insurance, you will be responsible for a one time $55 materials fee. This will be due by the night of the first session. We will be in touch about your portion of the cost for the group sessions based on your insurance policy.
If you are not planning to use insurance, please pay below for the 8 sessions and supplies.

Payment for 8 sessions and materials:*

Group Sessions

$375.00 Quantity

Total

$0.00

Insurance Information