FEES ARE DUE AT THE TIME SERVICE IS RENDERED
For the convenience of our clients, we offer the following methods of payment: Cash, Check, Debit Card, VISA, MC, Discover, and Care Credit
I (we), the undersigned, hereby agree to pay all amounts and charges hereafter incurred by members of my (our) family for services rendered by this office. Failure to make payment when requested is basis for legal action, and the undersigned agrees to pay all cost of collection, including a resonable fee, and hereby waives the rights of exemption under the laws of the state of Alabama.