Group Therapy Registration Payment

We accept Visa, MasterCard, American Express, and Discover via our secure Paypal payment page.
Enter your details below to begin the online payment. You’ll then be directed to our secure Paypal payment page to enter your credit card information.

Enter Your Name:


Enter Group Name:


Please list the dates you will participate (or full group if you will be at all sessions) and the total number of sessions you will attend. (The fee is $25 per session.)


Amount to pay:
$