Patient Information Intake Form – Therapy Center & Lemoine Therapy Complete this form prior to the first visit at our Therapy Center or Lemoine Therapy outpatient clinics. Intake Form FAQsPreparing for therapy can be challenging. See a list of frequently asked questions. FAQs Pay Your Bill – Therapy Center Click the button below to go to the payment portal for Therapy Center. Pay Your Bill Notice of Privacy Practices Therapy Center and Lemoine Therapy are committed to your rehabilitation, care, and privacy. Click HERE for our notice of privacy practices.