Spring Forest Counseling & Wellness Payment FormPlease enable JavaScript in your browser to complete this form.Client Name *FirstLastEmail *Email of person submitting payment. Amount of Payment to be Processed *Credit Card Information *CardName on CardCard TypeHSA (Health Savings Account)FSA (Flexible Spending Account)Debit/Credit Card SignatureClear SignatureUse this form to make a payment on your account. By submitting this form the payment will automatically be processed & the admin team will post the payment to your account within 24-48 hours. If you wish to update your credit card on file please use the Credit Card Update Form. We can not update your payment type from submission of this form. Comment or MessagePay Now