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Mindful Self-Compassion Insurance Receipt

This document is an insurance receipt for a client who completed a Mindful Self-Compassion skills training program over 8 sessions totaling 28.5 hours. The program was offered through The Centre for Mindfulness Studies to enhance emotional resiliency and reduce negative effects of difficult emotions. It lists the client and provider details, dates and costs of each session, including a silent retreat, for a total cost of $595.

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Rahul Jiwane
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178 views1 page

Mindful Self-Compassion Insurance Receipt

This document is an insurance receipt for a client who completed a Mindful Self-Compassion skills training program over 8 sessions totaling 28.5 hours. The program was offered through The Centre for Mindfulness Studies to enhance emotional resiliency and reduce negative effects of difficult emotions. It lists the client and provider details, dates and costs of each session, including a silent retreat, for a total cost of $595.

Uploaded by

Rahul Jiwane
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

180 Sudbury Street, Toronto, ON M6J 0A8 | 647 524 6216

[email protected] | MindfulnessStudies.com

Insurance Receipt
Client Date
Registrant Name Date of last session (Session 8)
Mailing Address
Date of Birth: DD, Month, YYYY

Provider
Facilitator Name Credentials
Insurance Registration Number
Mailing Address

Description Quantity Time Cost

Mindful Self-Compassion (MSC)


Skills training to enhance emotional resiliency to reduce the negative effects of
difficult emotions such as anxiety, depression, and shame on a client’s well-
1 28.5 hours $595
being. This program is offered in conjunction with The Centre for Mindfulness
Studies.
Program Start Date – Program End Date
Session 1 – date 3 hours $64
Session 2 – date 3 hours $64
Session 3 – date 3 hours $64
Session 4 – date 3 hours $64
Session 5 – date 3 hours $64
Silent Retreat – date 4 hours $78
Session 6 – date 3 hours $64
Session 7 – date 3 hours $64
Session 8 – date 3.5 hours $69
TOTAL 1 22 hours $595

__[facilitator signature]_______________________________________________

Facilitator Name Credentials

Date of signing
Date

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