This page is for payment to the University of Oregon's HEDCO Clinic.

**Please enter the name of the client receiving services.**

If you are having difficulties submitting a payment, call the front desk at 541-346-0923.

First Name*

Last Name*

Email*

Phone*

Select / Enter Qty	Select / Enter Qty	Select / Enter Qty	Price	Price	Product or Event
Enter payment amount	Quantity	Select (no/yes)	Price $		Product Client Fee Payment Description Payment to one of the following service lines: Speech-Language-Hearing Center - SLHC Center for Healthy Relationships - CHR Child and Family Center - CFC Counseling Psychology Center - CPC
Enter payment amount	Quantity	Select (no/yes)	Price $		Product CDAC Assessment Fee Description Payment to the Comprehensive Diagnostic Assessment Center - CDAC (cost of $800 total)