Credit Card Information

Credit Card Information

We will only charge what your insurance does not cover. When using insurance, your out-of-pocket could be as low as $0, but will never exceed $95.

This does not include the cost of medication, which will be determined by your pharmacy and/or insurance provider.

* Lab tests, procedures, or requests beyond the standard treatment plan may result in additional charges.

Please provide your credit card information.

Your credit card will be charged based on the services received.

Charges quoted do not include additional items like Lab tests, Imaging or Medication.

* Notice of the amount to be processed will be sent to the email you provided.

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