Coral Gables Counseling Center

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Billing Information
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Additional Information
By checking this box, I agree to the Terms of Service below.:
Account/Patient:

I authorize Coral Gables Counseling Center to charge the credit card indicated in this web form, for the noted amount on today’s date. I understand that returns, refunds and cancellations are subject the policy listed on Coral Gables Counseling Center’s website. I certify that I am an authorized user of this credit card and that I will not dispute the payment with my credit card company, so long as the transaction corresponds to the terms indicated in this web form.