Payment

50th & France Chiropractic & Wellness

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Ph: (952) 920-4528
Email: doctor@edinachiropractic.com

Payment Information

Online Veri. ID What’s This?

Cardholder Name

Credit Card No

Card Exp Date

Card CVN

Amount

Notes

×

You can find your Online Verification ID on your patient statement. If you are the guarantor and want to pay for your statements and/or the statements of your dependents, use your Online Verification ID and add your payment details in the notes and we will get those payments applied following your instructions.

Appointments requested same day may not be responded to immediately, please call clinic to verify. New Patients we will call you to accept visit, and to get card on file to hold your appointment. If we do not hear from you, your appointment will be cancelled.