Home / CLIENT PAYMENT FORM

If you would like to make payments for services, you can do so using the form below. You will need a credit card or a debit card with a Visa or Mastercard logo on it.

In order to complete this form, you will need:

  • Your credit card number
  • The name of your therapist or parent education instructor
  • The dates of service you are paying for (therapy session dates, Finding Peace Within session dates, or Parent Education class dates & teacher)
  • The amount of your agreed upon fee per session.

If you have any questions about your fee, please contact your therapist or PE instructor.
Click link below for Client Payment Form in English or in Spanish.

Family Paths’ Client Payment Form

Formulario en español para pagos de clientes