This form is only to let us know what plan you are choosing. No payment is required at this time.

New Care & Support Plans begin December 1, 2021.

If you are paid through December 31, 2021, your new plan will take effect January 1, 2022.

The current client-only discounts are good through November 30, 2021 and you are locked in at this rate for 6 months before plans change to the regular monthly investment. You can pay monthly or quarterly, just let me know.

Auto-pay discount is not applicable for these rates.