Janet Nicholas, MA, LPC, LCDC
White Stone Associates
26203 Oakridge Drive
The Woodlands, TX 77380

 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 - 45-50 minutes - $150.00
Individual Session (Psychotherapy) - 45-50 minutes - $120.00
Individual Session (Psychotherapy) - 20-30 minutes - $85.00
Family or Marriage Session - 45-50 minutes - $140.00
Family Consulting Services - 45-50 minutes - $250.00
No Show Fee - $80.00
Cancellation w/o 24 hr Notice - $80.00
MMPI Testing - $140.00
Connors ADD/ADHD - $60.00
SASSI Testing - $60.00

A Brief Retreat Payment Form,
enter name and amount

Pre-Arranged Payment Amount:

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Amount - 50% or Full Payment:


Equine Assisted Group Session:
Equine Teambuilding Session:
Wellness Workshop Classes
Insurance Co-Pay Due:
Balance Due:
Anything not mentioned above,
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Pre-Arranged Payment Amount:

Pre-arranged Details:


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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..