Transformational Health Centers LLC

375 Route 10, Whippany, NJ 07981 · (973) 210-3838

Care Package Pricing Agreement

Select one or more packages below and sign the agreement at the bottom.

Care Package Pricing

Standard rate: $150.00 per visit — Pre-paid packages offer significant savings on your care.

Visits	Regular Price	Discount	Price / Unit	Package Total	You Save
5 visits	$750.00	5% off	$142.50	$712.50	$37.50
10 visits	$1,500.00	10% off	$135.00	$1,350.00	$150.00
15 visits	$2,250.00	15% off	$127.50	$1,912.50	$337.50
20 visits	$3,000.00	20% off	$120.00	$2,400.00	$600.00
30 visits	$4,500.00	25% off	$112.50	$3,375.00	$1,125.00

Infrared Sauna Pricing

Standard rate: $45.00 per session — Pre-paid packages offer significant savings on your sessions.

Sessions	Regular Price	Discount	Price / Unit	Package Total	You Save
5 sessions	$225.00	5% off	$42.75	$213.75	$11.25
10 sessions	$450.00	10% off	$40.50	$405.00	$45.00
15 sessions	$675.00	15% off	$38.25	$573.75	$101.25
20 sessions	$900.00	20% off	$36.00	$720.00	$180.00
30 sessions	$1,350.00	25% off	$33.75	$1,012.50	$337.50

Patient Agreement

I, the undersigned, agree to purchase a ________ package from Transformational Health Centers LLC at a discounted rate, as selected above, for the agreed package total.

I understand that:

This package is non-transferable and applies only to the patient named below.
Unused visits are non-refundable after 12 months from the date of purchase.
This agreement does not guarantee specific clinical outcomes.
Care packages apply to services rendered at Transformational Health Centers LLC and may not be applied toward third-party billed services or insurance-covered treatments.

Patient Name (print) *

Date

Patient Signature *

Signature

Sign here with your finger or stylus

Guardian Name (if minor)

Relationship to Patient

Guardian Signature (if minor)

Signature

Sign here with your finger or stylus

For office use only — Staff signature to be completed in office.