You may use this form to make a secure, online payment to Piedmont Counseling Center. Please select the appropriate option (either intake or therapy session), and include your name, and your counselor’s name (Mr. Adams, Dr. Spriggs, or Ms. Yates).
The payment is conducted securely via PayPal and none of your information will be stored. You do not need a PayPal account to use this service.
If you have any questions, please contact us. Thanks very much for your payment!
|Your Counselor’s Name|