Pay My Bill

If you have questions, or would like a receipt, please message us at billing@kindredpsych.com.

You can use the form below to conveniently pay your bill online.

"*" indicates required fields

Client Name*

First Last

Phone

Email Address*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Payment Amount*

Please enter your payment amount in a dollars and cents format. Example: 100.00

Invoice #

Optional. If you would like for us to apply this payment to a specific invoice, please list that number here.

Credit Card*

Card Details

Cardholder Name

Total

Form validation question: What is 2 + 2?*

Comments

This field is for validation purposes and should be left unchanged.