What payment methods are accepted?

Details on accepted payment methods are outlined on the form — reach out to our team if you have questions before submitting.

Who do I contact if I have a billing question?

Our team is happy to help ! Just reach out through Contact Us and we'll typically respond within one business day.

Client Payment Form - Trusting Connections

Auto-Pay Information

Family Name/Corporate ID*/Business Name:(Required)

*If you are a corporate care benefit family please provide your Student/Employee ID number or other Corporate ID.

Email(Required)

Please enter the email address we have on file for your family's main contact.

Name (as it appears on card/account)(Required)

First Last

I am...(Required)

An Existing Client

A New or Returning Client

Billing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Please select a payment option:

ACH/Bank Account** (Recommended, see below)

Credit Card (Subject to a 3% processing fee)

**ACH transfers are inherently more secure. When you make an ACH payment, it processes through an encrypted, secure system. The payment is then processed in a safe, secure environment, giving your credentials increased protection.

Account Number(Required)

Routing Number(Required)

Account Type(Required)

Checking

Savings

Card Type(Required)

Expiration Date(Required)

Credit Card Number(Required)

Signature(Required)

By signing above you ("Client") are authorizing Trusting Connections ("TC") to automatically charge the account designated above to pay any outstanding invoices for service or membership fees accrued.

Date(Required)

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Trusted care for the people who matter most.

Client Payment Form

Auto-Pay Information

Trusted care for the people who matter most.

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