Billing & Payments |
Volunteer |
Donate |
Join Our E-newsletter |
Contact Us
Quick Links
General
FAQ
Success Stories
Client Statistics
Client Rights
Billing & Payments
Joint Commission Accreditation
Marillac is accredited by The Joint Commission and in full compliance with all applicable standards...
More About Marillac
2008 Annual Report
Marillac served more than 1,000 Kansas City children in 2009. In follow up, 98 percent of these children made progress toward their treatment goals.
View our Annual Report
Billing & Payments
Families have the opportunity to pay for client services online by simply filling out the form below. You will receive an email receipt once the form has been submitted. Please note: Fields with a red asterisk are required. Thank you!
Client Account Number:
*
Client First Name:
*
Client Last Name:
*
Cardholder First Name:
*
Cardholder Last Name:
*
Address:
*
City:
*
State:
*
Zip:
*
Country:
United States
Phone:
*
Email:
*
Amount:
*
CreditCard:
*
Card Expiration:
*
Card Cvv2:
*
Write the characters in the image above (Case sensitive)
Merchant Services
Copyright © 2010
Marillac.
All Rights Reserved
powered by Niko Software Corp.