Pay My Bill
This form is via a secure platform and is HIPAA compliant. Please note that our credit/debit card option is currently not working. PayPal is still accepted.
Name
First Name
Last Name
Date of Birth
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Month
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Day
Year
Date
Payment Amount
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USD
Nutrition Consulting Fees
Payment Methods
Debit or Credit Card
Choose from one of the PayPal options to
make your payment.
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