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Non-Covered Services Fee monthly program

Ready to select a Non-Covered Services fee option?  Choose your option below to sign up for a monthly option.  If you prefer the Per-Visit option, we'll gather your information at your next visit.  

Non-Covered Services Fee Donation

$5.00 per month
Subscription product
Once you subscribe, we will place a new order with this product every month. You will be automatically charged $5.00 for each order. You can easily manage your subscription or cancel it anytime with no additional charges.
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If you'd like to contribute to our scholarship fund to help cover Non-Covered Services for someone who needs financial assistance, please do so here. And thank you!

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Non-Covered Services Fee Donation
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