DANCE|PREHAB Session Package Request
Hello! Below you will find our bundled offerings for Physical Therapy and Performance Prehab sessions. If you have not completed a DANCE|PREHAB Evaluation, please do so on our website: www.danceprehab.com

• Physical Therapy 5 Visit Bundle - $475.00 (5% off $500.00)

• Physical Therapy 10 Visit Bundle - $900.00 (10% off $1000.00)

• Performance Prehab 6 Visit Bundle - $456.00 (5% off $480)

• Performance Prehab 10 Visit Bundle - $720.00 (10% off $800)

***NOTE***: This form is for cash-based Physical Therapy clients and Performance Prehab clients only.
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Your Name (Dancer) *
Parent/Guardian (if applicable)
Which option would you like to select?
Thank you!
Your request will be fulfilled to the card you have on file on JaneApp within 24-48 hours.
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