Private Pay

If you would like to privately pay for your psychotherapy services at MCPST, you can discuss this with your therapist who will inform you about their fee structure.  Your therapist will document this private pay fee arrangement on a form which you will both sign.  Forms for new clients paying privately are available at New Client Appointments.

Please pay private pay fees and balances of bills at time of each session.

MCPST accepts payment by cash, check, money orders, Visa, MasterCard, American Express and Discover credit cards.

As a courtesy, we offer our clients the options for their sessions fees to be charged directly to their credit card.  The Credit Card Payment Authorization form allows MCPST Management Corporation to charge your credit card for services.  This form is kept confidential and private.  If you would like to set up this kind of payment, please complete this form and bring it with you to your appointment.  You may opt out of this service at any time.  If you have any questions about this form, please contact our Office Manager Sheena at (608) 237-8004.

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Midwest Center for Psychotherapy & Sex Therapy · 6300 University Avenue, Suite 125 · Middleton, WI 53562 · (P) 608-237-8000 · (F) 608-237-8005