• Healing Psychotherapy Practices of Georgia, LLC

    3750 Palladian Village Dr., Suite 320 Marietta, GA 30066

    Tel: 770) 792-0079

     

    Group Financial Agreement Form

  • Women's Wellness Group: $65 per group session.

    Regular participation is vital for maintaining group cohesion, fostering growth, and promoting overall wellness and healing. Your presence contributes significantly to the collective progress and support within the group.

    Thank you for your commitment to this journey of growth and healing.

  • Please read the below section and sign this document to confirm your understanding and agreement of its entirety.

     

    1. I understand the group is 10 weeks. If I miss a group session, I will be provided the materials that I missed. This will allow me the opportunity to catch up for the next group session.

    2. The fee for this group will be collected on a weekly basis for the duration of the 10 weeks.

    3. I have read and understand all rules and policies in the group intake packet.

    4. I understand that Healing Psychotherapy Practices of Georgia, LLC will keep a credit card on file to collect fees for group sessions. This is stored on HIPAA compliant platforms.

  • Clear
  •  / /
  •  
  • Should be Empty: