Description: This option is for those patients that have Pre-qualified on-line and would like to prepay their office visit and/or this option can be used by returning patients for their office renewal.
Total Amount: $100.00
All Payment Options are a ONE TIME FEE. There are no reoccuring fee subscriptions.
RETURNING PATIENTS PLEASE CLICK HERE TO ANSWER OUR FOLLOW UP/RENEWAL ASSESSMENT TOOL QUESTIONNAIRE.
NEW PATIENTS
IT IS REQUIRED THAT YOU TAKE THE ASSESSMENT TOOL FOR A COST OF 25.00 PRIOR TO CONTINUING WITH THIS PAYMENT OPTION. FAILURE TO DO SO WILL JEOPARDIZE YOUR 50.00 SAVINGS. PLEASE CLICK HERE TO PAY AND TAKE THE ASSESSMENT TOOL QUESTIONAIRE.
Please take your time when filling out the payment form after you click "'CLICK HERE TO PAY'". If you have errors in your input, you will have to return to this screen to retry. So please, doublecheck your form fields input data e.g. name, address, credit card number, etc before finalizing your payment.
