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Payments and copay are due at time of session with current GE Tax in the form of Cash, Check or Credit Card.

Credit Cards can be processed in-office or through the form below via PayPal before your visit. Your choice. 

PayPal doesn't recognize cards used for flex spending - sorry, please bring another form and I can give you a special receipt for reimbursement

Call or text me if you have questions or difficulties: 808-321-2209

Amount (in dollars)

$

.00

Make a Payment