Patient Payment Please direct any questions or issues to our bookkeeper, Lauren Mintzer at LaurenM@wcspp.org. Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Therapist Name *FirstLastNumber of sessions for this payment: *Dates of Service *Examples: Jan. 1, 8, 15 or 1/1, 1/8, 1/15Fee Per Session *Credit Card *CardName on CardFee Per All SessionsFee Per All Sessions: $0.00Total$0.00Submit