Client Financial Services Please use the form below to submit your secure online payments Square Installments Client Payment Form Please use the form below to process your custom payments, and invoice payments, using a credit card or other existing account. Name*FirstLast Phone* Email* Date* Invoice Number (If applicable) Please choose service for payment*Select serviceBarry's House Sober LivingSober Companion ServicesAlternative Intervention (AIN)Family InterventionFamily Case ManagementCFI-Training ProgramOther... Please input payment amount or amount from invoice* USD reCAPTCHASubmitReset
