Make A Payment – Silver Linings Teletherapy

You may make an on-line payment here, or call our office for a credit card transaction.

"*" indicates required fields

Name of Client*

First Last

Name of Payer (if different than client)

First Last

Billing Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Email*

Payment

Please enter the amount you wish to pay.

Client Account Number

Please enter if known

Enter the amount to pay*

Credit Card

Cardholder Name

Card Details

Total

The Silverlinings Telehealth website uses SSL (secure sockets layer) to establish a secure connection to our credit card processor for all transactions.