Patient Online Payment

Patient Online Payment for Old Vineyard Behavioral Health Services

We strive to make payments as easy as possible for patients and their loved ones. Through our online form, you can submit payment for mental health services and treatment.

Payment Instructions: Please complete the following patient information form requested above. If there are any changes, please add them in the appropriate fields so that our staff can update your payment records. Click “submit” and the payment information screen will open so that you may finalize your payment.

Thank you for choosing Old Vineyard Behavioral Health Services.

Physicians are on the medical staff of Old Vineyard Behavioral Health Services, but, with limited exceptions, are independent practitioners who are not employees or agents of Old Vineyard Behavioral Health Services. The facility shall not be liable for actions or treatments provided by physicians. Model representations of real patients are shown. Actual patients cannot be divulged due to HIPAA regulations.