New Patient Form

Our office complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. More about Discrimination. About English Language Translations.

Payments

Thank you for making a payment!

 

Instructions

1. Click on the Buy Now button:

 

 

2. Enter amount of today’s payment.

 

3. Update.

 

4. Either, log in with your Paypal account OR pay with your credit card without logging into Paypal.

Our office complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. More about Discrimination. About English Language Translations.

1922 23rd Ave., Meridian, Mississippi 39301 map

Thank you for making a payment!

 

Instructions

1. Click on the Buy Now button:

 

 

 

2. Enter amount of today’s payment.

 

3. Update.

 

4. Either, log in with your Paypal account OR pay with your credit card without logging into Paypal.