Client Funds
PLEASE NOTE: Each client may receive a maximum of $100 during their stay at IBH Addiction Recovery.
Client Name
*
First Name
First Initial of Last Name
Email of Sender
*
example@example.com
Client Funds
*
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next
( X )
$25
All transactions are assessed a $1.50 processing fee.
$
26.50
$50
All transactions are assessed a $1.50 processing fee.
$
51.50
$75
All transactions are assessed a $1.50 processing fee.
$
76.50
$100
All transactions are assessed a $1.50 processing fee.
$
101.50
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
Cash App Pay
After submitting the form, you will be redirected to Cash App Pay to complete the payment.
ACH Bank Transfer
Submit
Should be Empty: