(559) 216-0407 (559) 385-2010 7055 N. Chestnut Ave. #103 Fresno, CA. 93720
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(559) 216-0407
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Payment & Patient Forms

See online payment options, payment policy. Download patient forms.

Model

Patient Forms

New Patient Registration Form

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HIPPA Form

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Payment Policy

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Credit Card Authorization Form

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Insurance Plans We Accept

We accept most insurance plans.


Payment Policy

Currently, we're not accepting payments online.



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Refund & adjustments

Q: If I have a technical issue with making a payment on the website, who should I call?

A: Please call us at (559) 216-0407 during normal business hours. After normal hours, please send us a secure message on our website or call our answering service accessed through our main phone number.

Q: What kinds of credit/debit cards do you accept?

A: We accept debit and credit cards including Visa, Mastercard, Discover, American Express, JCB, Union Pay & more.

Q: Who should I call if I have questions specific to my bill?

A: Please call our billing service provider Reliant Billing Services at (559) 216-0407.

Q: Would I get a receipt of this payment?

A: Yes, a receipt will be automatically sent to your email upon successful payment.