If you received a statement from us, you can use this form to pay your balance.
For any questions about your bill, please call us at 480.300.4663

To make a payment:

• Type your full name
• Type your email address
• Click Pay Now (You will be redirected to PayPal to process your payment)
• On the Paypal payment page, Enter the amount on your statement in the Price section

Patient Name:

Email Address: