Payments

If you are completing a UA/drug screen or assessment, please fill out the form below for payment.

Payment Options

UA
Assessment ONLY
Assessment and UA
Custom Amount

Custom Amount

Cleveland or Wadsworth? (Required)

First Name (Required)

Last Name (Required)

CATS Staff Name (Required)

Email

Phone Number (Required)

35soqki97ff7

Credit Card Information

Cardholder Name (Required)

Credit Card # (Required)

Visa MasterCard American Express Discover Diners Club

Expiration Date (Required)

Security Code (Required)

Visa®, MasterCard®, Discover® & Diners Club® cardholders
Your security code is the 3-digit code at the end of the signature field on your card's back.

American Express® cardholders
Your security code is the 4-digit code located above the actual credit card number on your card's front.

Billing Zip Code (Required)

Your total payment will be .

Your credit balance will cover

Your credit card will be charged

Your bank account will be charged

EDWINS
Huntington Bank
ADAMHS Board
Blue Technologies
BakerHostetler
Running2BWell
Swagelok
Wells Fargo
Avvenire

GuideStar
CARF Accreditation
ODRC Certification
ACA Accreditation
PREA

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