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Please make sure you read our Credit Card Payment Policy down below.

To make a payment, click the following button:

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Credit Card Payment Policy

Please be advised that a 3% surcharge will be applied to all credit card payments. This fee covers the cost of processing credit card transactions and will appear as a separate line item on your receipt.

This surcharge does not apply to:

  • Debit card payments
  • Cash payments
  • Check payments

We encourage patients to use these alternative payment methods to avoid the surcharge. By signing this form, you acknowledge and accept this policy regarding credit card payments.

Thank you for your understanding and cooperation.