• Pricing Worksheet

  • This is not a bill. This worksheet is merely a guide to help you calculate your costs. After you complete your enrollment forms, you'll be sent an invoice. Valid payment is due prior to your first appointment.

  • A 15% multi-patient discount has been applied to Your Price.

  • Payment Frequency*
  • *All new payor accounts will incur a one-time setup fee of $195, which is not included in Your Price. This fee does not apply to existing accounts, re-activating accounts, or adding additional members to accounts.

  • Should be Empty: