Purchase CK Behavioral Health Sessions

Please use the form below to purchase CK Behavioral Health sessions for your child or youth. At this time we are only offering QMHP Skills Training for private pay clients. We are not offering counseling, wraparound case management, psychological evaluations or psychiatric services as private pay. Sessions are 1 hour and cost $100.08 each. After completing you purchase you will be emailed a receipt. Please keep that receipt as proof of your purchase. Thank you!

Purchase CKBH Services

Purchaser Information

Your First Name *

Your Last Name *

Email Address *

Te receipt from this purchase will be sent to the email address you type here.

Phone Number *

Please provide the best phone number to reach you regarding this purchase.

Client's Information

Client's First Name *

Client's Last Name *

Client's DOB *

Purchase Information

Please select the number of 1 Hour sessions you are purchasing. *

Total Purchase

This is the amount that your credit card will be charged for the number of sessions you have chosen.

Payment Information

Name on Card *

Credit Card *

Address *

Address

City

State/Province

Zip/Postal

If you are human, leave this field blank.

P.O. Box 173038, Arlington, TX 76003 | Phone: 817-516-9100 | Fax: 817-516-9102
© 2016 Covenant Kids, Inc. d.b.a. CK Family Services All Rights Reserved
CK Family Services is licensed by and receives funds from the Texas Department of Family and Protective Services.
Registered 501(c)(3). EIN: 75-2889215
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