PAY BILL

Aside from the Patient Portal, below is an alternative way to pay some or all of your bill.

We use PayPal to process these payments, and you will receive an email confirmation of your payment.
Unless specified in the Details box below, payment made here will be applied to the oldest outstanding balance on the patient’s file.
If you select your therapist’s email below, they will also receive an emailed confirmation of your payment.

Patient Name *

First

Last

Date of Birth *

Credit Card or PayPal *

Card Number

Expiration Date

Security Code

Card Holder Name

Amount: *

Details regarding your payment

Email *

For emailed receipt of payment

Date Name your

Therapist's Email

If you want your therapist to receive a notification of your payment, select their email address above,

Your Name *

First

Last

Individual filling out this form

Authorizations *

I authorize the payment of this amount for the patient listed above.

Become A New Client

Pay your Bill

Update your
Information

Patient Portal Login
(for current clients)

Need your portal password reset?
Click here to have a new code re-sent to you
(for current clients)

From our Facebook Page

Insight Psychological Group

5 days ago

Happy World Mental Health Day everyone!We wanted to share with you something to help support your mental health! Many may not be familiar with grounding techniques, but we hope you'll learn something new from this article that can help you all in the stressful times of life!Visit our website to learn more about our group practice as well! ... See MoreSee Less

6 Grounding Techniques to Melt the Stress Away

www.msn.com

Get ready to find your zen.

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