Payments

Please use our Patient Portal or this secure form to enter payment for the session(s) with your therapist. Please note some HSA and Flex accounts will not work with PayPal.

Make Payment Through Patient Portal

Visit Patient Portal

Make Payment Through PayPal

Name*
First Last
Email*
Billing Address*
Street Address Address Line 2 City State ZIP Code
Therapist*
Total Payment Amount*
Family Life Counseling Account Number
Optional
Total Payment
$0.00