Patient Account Payments
Patient Portal Log In
For your convenience please find below our online Payment Button link. These payments are accepted through our Square account.
Please complete the Credit Card Authorization Form and send either by Email button to our office or Fax. Your form will be uploaded to your Chart for HIPAA compliant storage and email will be deleted from our system.
You will be redirected to our Square payment processing portal to apply your payment(s) to your account.
For first time users, Please complete our Credit Card Authorization form and SUBMIT back to Us by Email or Fax to (813) 960-9020
Thank You We Appreciate Your Payment!
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