Online Payment

Thank you for visiting.

Please complete the form below to set up a credit card payment profile with Toronto Psychology & Wellness Group. By completing this form, you are consenting to abide by our fee policy and to have future sessions billed to you via this method of payment. Should you wish to change your card information at any time, please contact us directly.

IMPORTANT: We do not accept AMEX. If you set up this profile with an AMEX card, we will kindly ask you to change it.

This form is PCI compliant and your credit card information will not be visible to clinic staff.

Billing Information

Name(Required)
Address(Required)

Payment Information

Credit Card
American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Expiration Date
 

Thank you! We look forward to working with you.