PAYMENT OPTIONS/ FORMS

 

If you would like to expedite your visit, please fill out the form below and bring it with you.

Registration Form: Patient Info Form

Please note that payment is due in full at the time services are rendered.
An estimate of the cost of services will be provided to you upon request.

We accept the following forms of payment:

Cash
Check
Visa/ MC/ Amex/ Discover
*Care Credit (6 month interest free plan)

*  For more information and to obtain pre-approval for Care Credit, please visit http://www.carecredit.com/ .