Juniper on Behalf of EPT

Explore Pediatric Therapy: Electronic Statements and Payments

Explore Pediatric Therapy has partnered with Juniper, our new client e-statement provider. Juniper will enhance your care experience by giving you the option to receive electronic billing statements and make payments online. Please submit this 1-minute form below to confirm your contact information and indicate your statement preferences.
Current email on file with EPT*
What is the best email address to contact you for statement-related questions?*
Juniper may send you e-statements (via email) rather than mailed statements*

YesNo
Juniper may auto charge your payment method on file with Explore Pediatric Therapy 5 days after receiving your invoice

YesNo
Opting into e-statements constitutes an agreement with Juniper's e-statements terms and conditions.

This does not override any existing agreement you may have with your provider. Opting in to auto-charge card-on-file constitutes an agreement with Juniper's card-on-file terms and conditions.
Should be Empty:

Explore Pediatric Therapy: Electronic Statements and Payments