Appointments Payment Form


For appointments after 5pm on Mondays and Thursdays or anytime on Saturday, we require that a credit card be provided to schedule and hold the appointment.
 
A $50 cancellation fee will ONLY be charged if the appointment is not cancelled or rescheduled with 24 hours.

 

Card Number is not valid
Expiration Date is not valid
CVC is not valid
Please type your full name.