Payment Plan Request Form
The counselors of Cornerstone Christian Counseling desire that all persons who genuinely want help are able to receive it. It’s out of this desire our counselors agree to accept a payment plan for their services, in qualifying situations, over time instead of at the time of service. We do so without charging any interest, and offer up to a 6 month repayment term. We want you to be able to get the help you need!
Eligibility is based on income and qualifying circumstances. Please review the income cutoff guidelines below:
If you believe you would qualify based on our income guidelines, or have significant circumstances that impact your ability to pay for your sessions at the time of service, please complete the following form to be considered for our weekly payment plan.
Clients must complete this form prior to beginning weekly payments for services provided by our counselors.