Janet Nicholas OnLine Payments

Credit Card And Paypal Payments
This form is for clients to send in payments of specified and unspecified amounts. Please use a submit button or enter an amount into the form below to make a payment.

Payments through Paypal
Quick Online Payments
Initial Evaluation - 60 minutes - $160.00
Individual Session (Psychotherapy) - 45-50 minutes - $130.00
Individual Session (Psychotherapy) - 20-30 minutes - $95.00
Family or Marriage Session - 45-50 minutes - $150.00
Extended Session - 60 minutes - $170.00
Extended Session - 61-90 minutes - $220.00
M or F W/O Primary Patient - $150.00
Family Consulting - $260.00 per hour
EMDR Session - $160.00
Career Testing and Counseling- $1500.00
No Show Fee - Cost of Session Above
Cancellation w/o 24 hr Notice - Cost of Session Above

Equine Assisted Individual Session: 60min
Equine Assisted Family Session: 60min

Balance Due:
Anything not mentioned above,
enter detail and amount

Pre-Arranged Payment Amount:

Pre-arranged Details:

Pre-arranged Amount:

You can contact Michelle at Medical E-Bill, my insurance representative by phone at 281-693-0482, by fax 281-569-4624, or click the "VERIFICATION" form at Medical E-Bill..