Payment PolicyClick HERE to print a copy of the form or fill out the online form belowDear Clients, We have always tried to make every effort to provide optimum services to all of our clients. However, recently we have been acquiring many financial losses due to our willingness to help others. Unfortunately, we cannot continue to operate our practice with these constant financial losses. As of March 2016, full payment is due at time of service. We accept all major credit cards, cash, personal checks and care credit. No personal checks will be able to be held. I have read and fully understand this policy: Your Signature - Please sign below (required)Signature*Name*Email Date