Pay

Initial Consultation - $150

3 Session Package - $375

5 Session Package - $600

10 Session Package - $1,100

4 Session Group Package - $60

** Please note what packages are being selected and calculate the total amount due **

Selected Packages:

Total Amount Due:

Card Number

Expiration Date

Security Code (CVV)

First Name

Last Name

Address 1

Address 2

City

State

Zip/Postal Code

Country

Email Address

Phone #