Pay Online - Care Counseling : Minneapolis Therapists

Make A Payment

Paying online is a quick and easy way to address your bill. Please note that this is a separate system from CARE Counseling’s Electronic Health Records and you will not receive an email confirmation of payment and your records will be updated within 24 to 48 hours.

If you have any questions please don’t hesitate to contact us at (952)222-8165.

Payment Amount *

Card

Name on Card

CARDHOLDER EMAIL *

CARDHOLDER PHONE *

CARDHOLDER ADDRESS *

Address Line 1

Address Line 2

City

State

Zip Code

Date Of Birth *//

IS THE CARDHOLDER DIFFERENT?*

YES
NO

Client Name *

First

Last

Client Date Of Birth *//

Client Email *

Client Phone

Client Address

Address Line 1

Address Line 2

City

State

Zip Code

NOTES (DATE OF SERVICE, CLIENT RELATIONSHIP, ETC)

Click Here to view our financial agreement