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Make A Payment

To make a payment with your credit card, just fill out the amount below and click 'Make a Payment'. You'll be taken to PayPal's Website, where you can complete the payment to me safely and securely.

Please enter the amount and then click the gray "pay" button.


Amount: $

Schedule Appointment

Contact Dr. July for an appointment

Request Appointment

INSURANCE FORM

Click here for Insurance Form

Insurance Form
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