Make A Payment Form | Turning Point of Tampa

Memo*
Payor Name*
First Last
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Payment Information
Payment Amount*
Refund Policy*
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.
- I accept the Refund Policy.
Credit Card

Discover
MasterCard
Visa
Supported Credit Cards: Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Money will be applied to an Escrow account?*
- No
- Yes
Phone
This field is for validation purposes and should be left unchanged.

Make a Payment