Payment Setup

Please enter your card information using this form. Your information will be processed through Square, Dryad Counseling's payment processor. This is used only to charge out-of-network session fees, self-pay clients (with reduced rates included), or no-show/cancellation fees. For questions regarding this form, please contact info@dryadcounseling.com for assistance.

Please note: Dryad Counseling does not store your credit card information; it is hosted on Square's servers. For information about Square's PCI compliance, please click here: https://squareup.com/us/en/payments/secure

If you need to change your card information in the future, you may return to this form or discuss it with your counselor in session. You may also request your card information to be deleted at any time.

If you are requesting a reduced rate:

Please complete the form here: https://forms.gle/cNjT2rsAuHtjkHV57 prior to your first session with the reduced rate.

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