Reduced Rate Form

Please answer the following questions to apply for a reduced rate. These seats are limited to two(2) per group cohort. If there are no seats available in the next group, let Sarah know if you'd like to be considered in the future.

Three month cohort reduced rate:

$300

$117 per session

First name

Last name

Phone

Position

Do you currently have a therapist?

Yes

If you do not currently have a therapist, we will be happy to refer you to one. You will need to have an individual therapist to begin the group for your own support and safety between sessions.

When will you be able to begin a group cohort?

Anytime/after date/as soon as possible

Pleased explain why you are hoping to receive a reduced rate seat.

Please tell us how you would benefit from Soulful Circle

Is there anything else you'd like us to know?

Thank you for expressing your interest in Soulful Circle.

Sarah truley appreciates your needs. She consistently reviews applications and will follow up with you within 48 to 72 hours.

2026 Sarah Dionne, MSW, LICSW

Reduced Rate Form

Sarah Dionne & Associates

10 Main Street
Lakeville, MA, 02347

Reduced Rate Form

Sarah Dionne & Associates

10 Main Street Lakeville, MA, 02347

10 Main Street
Lakeville, MA, 02347