Pediatric Deposit

This payment form is ONLY for approved pediatric appointments. If you wish to schedule a pediatric appointment, please click here for instructions.

 

When paying by debit or credit card and directed to PayPal website, please scroll down and select

Pay with Debit or Credit Card

 

Pediatric deposits are Non-Refundable and will apply towards your balance at the end of your appointment

 

Fill out my online form.