Make a Payment

Name: Recovery By Thes Sea
Address: 2801 SE Martin Square, Stuart, FL, 34994, US
Telephone: (877) 207-5033
Price range: $$$$

To make a payment, fill in the form below and submit.

Full Name*
First Last
Billing Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Email*
Patient Name*
First Last
Relationship to Patient*
Payment Amount*
Payment For*
- Patient Expense Account
- Housing Rent
- Medications
- Clinical/Treatment Services (Private Pay)
- Deductible and Coinsurance
- Other
Secure Credit Card
Card Holder*

Card Number*
Card Expiration*
Card CVV*
Additional Information