Psychology Clinic

Online Invoice Payment

This form is only intended for those who have been sent a direct link, and is to be completed in order to pay your Invoice(s) by credit card online. If you have questions, or would like a hard-copy of your receipt mailed to you, please contact Lakehead University Psychology Clinic reception by email at clinic.psyc@lakeheadu.ca or by phone at (807) 343-8110 ext 8738.

First Name *

Last Name *

Email *

Address *

Country *

Address 1 *

Address 2

City *

Province *

Postal code *

Invoice Number *

Amount Due * $

Online Invoice Payment

Thunder Bay

Orillia