Terms & Conditions This form is used to process copays for services rendered by Family Service of Rhode Island (FSRI). The online copay portal collects the following information: Client Name, Email, Phone Number, Account Number, Date of Appointment, and Parent/Guardian Name (required only for child). This information is used to apply this payment to your account. Successful payments will be indicated by an automated email confirming your payment was received (if email address is provided). Successful payments may take up to 1-4 business days to fully clear your account after processing and will appear on your statement as ‘FSRI Copay’. Your payment details are not stored using this system. If you require billing support, please contact our finance department at (401) 277-3362.
By using this form and selecting ‘Make a Payment’ you assert that you have reviewed and understand fully the Online Copay Terms and Conditions