Concierge Payment Form

PLATINUM
(Dr. Alvarado)

The annual fee must be Paid in Full upon completion of the patient agreement contract. The annual fee for patients is the following:

– Per patient $2000 ($166/month)
-Couples/Partners offered a discounted rate $ 3600 ($300/month)

*Contact office for Family Bundle Pricing*
*Care Credit Financing Available*

 

Platinum (Dr. Alvarado)

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Subtotal $2,000.00

Total due $2,000.00

ALERT:
Consent & Agreement Forms from EACH participating member must be signed/completed before submitting payment.
THANK YOU!