Make a Payment

Use this form to make a secure payment.
  • Payment Information

  • For residential and partial hospitalization, self-pay clients only, the refund policy is as follows. We will charge the following fees regardless of the reason for discharge: $4,000.00 administrative fee, $500.00 psychiatric fee, plus $400.00 per diem rate.

    For intensive outpatient self-pay clients, fees are non-refundable.

    For full fee agreement details, please click on the appropriate link(s) below:

    If you have any questions, please call us for assistance.
  • American Express
    Discover
    MasterCard
    Visa
     
  • This field is for validation purposes and should be left unchanged.