Secure Payment Form

Use the secure form below to transfer funds to Banyan Treatment Center.


Payment Form
  • Sign and complete this form to authorize Banyan Treatment & Recovery to make a one-time debit to your credit card listed below. By signing this form you give us permission to debit your account for the amount indicated on or after the indicated date. This is permission for a single transaction only, and does not provide authorization for any additional unrelated debits or credits to your account.

  • Please enter a value between 1 and 99999.
  • (ex. Deductible, medications, cash, cigarettes, payment plan, etc.)
  • American Express
  • This field is for validation purposes and should be left unchanged.