Contact Us

Use the form to the right to tell us about you or ask us questions.  We'll try and respond promptly.  Thank you for getting in touch.

4910 Normal Boulevard, Suite D
Lincoln, NE 68506
USA

(402) 853-2396

Into Balance is a community for helping people find peace and confidence in a frantic world using mindfulness principles, meditation, movement, and professional counseling. 

Into Balance Registration Page Banner.png

Pricing and Registration

Register for Mindfulness-Based Stress Reduction (MBSR).

The full program cost for MBSR is $395 and can be paid by check or with your major credit card on our "Make a payment" page.  A $100 deposit reserves your spot in the class and is refundable until 21 days before the start of the class.  Full payment must be received before the day of the first class. 

MBSR Pricing


EARLY REGISTRATION DISCOUNTS could save you as much as $95 and are typically available until 6 weeks before the class begins.  Contact us by phone at 402-853-2396 or email (click envelope in upper right of this page) for more information.  

ORGANIZATION DISCOUNTS are sometimes available for employees of selected organizations. In the past, these have included Nelnet, Olsson (Formerly Olsson Associates), CenterPointe, and others. Ask your Human Resources or Employee Benefits coordinators if such an arrangement exists with Into Balance or if they might be interested in establishing one.

FLAT RATE MBSR CLASSES can be arranged for your organization. If you have between 8 and 24 people interested in participating in the MBSR experience and who would like to do so as a group, Into Balance can arrange to teach a class exclusively for your organization in our space or possibly in yours. Call or send us an email by selecting the envelope in the upper right corner of this page. We’ll be happy to answer any questions you may have.

Discounts


MBSR Registration

We have arranged things so that you can fill out this form on your computer or other device and submit it securely online ("Online, Secure MBSR Registration Form" below).  If you prefer a paper registration form to online registration, please scroll to the bottom of this page.

Online, Secure MBSR Registration Form

Name *
Name
Date of Birth *
Date of Birth
Address
Address
Phone *
Phone
Voice messages OK at this #? *
Text messages OK at this #? *
Military Service? (Current or Previous) *
Please list names, ages, and relationships of those living in your household. Enter "none" or "n/a" if you live alone.
Please list name, contact number(s), and relationship of at least one emergency contact person.
Please identify any current or chronic medical conditions for which you are being treated at this time. (Include dates and your doctor(s) name(s) and contact information) Type "none" or "n/a" if this doesn't apply to you.
List medication names, dosages, the conditions for which they are prescribed, and the prescribing physicians. Please include regularly taken nutritional supplements. Enter "none" or "n/a" if this doesn't apply to you.
Please list dates and types of surgeries (including pregnancies) and the doctor(s) who performed them. Enter "none" or "n/a" if this doesn't apply to you.
Weight *
Has your weight changed in the last 90 days?
If "Yes", was this intentional?
Do you have dietary restrictions, allergies, or a specialized diet? *
Do you exercise regularly? *
Is your sleep regular? *
Do you go to sleep and wake at about the same times daily?
Check if you...
A range is OK.
Please check the box for the substances you use, even if only occasionally: *
Please describe how often you use the above substances and the amount used in each instance. Enter "none" or "n/a" if this doesn't apply to you.
Do you consider yourself an addict? *
If you have quit using a substance, note that here including the name of the substance(s), date(s) of last use, any rehabilitation program(s) attended, and any post-rehab recovery support(s) you engage in. Enter "none" or "n/a" if this doesn't apply to you.
Are you currently seeing a counselor, psychologist, psychiatrist, or other mental health professional? *
I Understand that: (Select the answer that applies to you) *
I certify that: *
And that: *
And, finally, that: *
Name *
Name
Date of form completion and submission *
Date of form completion and submission

If you prefer to complete a paper registration, please click on the "MBSR Registration Form" button, fill out the form completely, print and sign it, and send in to us via the US Mail.