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PRE-VISIT

To ensure your payment is processed instantly, you can use the links provided below or text our office to receive a direct link with the precise amount. Each payment button displays the visit fee before the 3.99% processing fee is applied.

MEDICATION REFILL FORM

BUPRENORPHINE INTAKE FORM

If you don’t have a PayPal account or do not wish to use PayPal, you can use the form below to enter your payment details, and our office staff will process it for you at a later time.

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