* * Attention * *

If you have any questions or would like to talk to a Specialist, please call Professional Credit Management, Inc (PCM) at 866-217-1675. Standard business hours: Monday thru Thurs 8:00am to 8:00pm, Friday and Saturday 8:00am to 5:00pm, Central Time.

Account payment through the PCM secure site is for consumer/patient convenience. However, if payment is made electronically via this site, the payor waives any and all disputes related to account charges and account balance. Further, by use of this payment method, the payor agrees that tender of less than full payment will not fully satisfy the account regardless of any references to "payment in full" or similar language.

CREDIT CARD TRANSACTION

By submitting payment information through this Service you agree to the terms and conditions of this Agreement and any documents incorporated by reference. You further agree that this User Agreement forms a legally binding contract between you and PCM, and that this Agreement constitutes 'a writing signed by You' under any applicable law or regulation. Any rights not expressly granted herein are reserved by PCM. By clicking on the "Process Payment" button you are accepting these terms and any stated fees for using this service. Please remember to print this form for your records.

CHECK TRANSACTION

By submitting payment information, you are authorizing PCM to reproduce this item as an 'ACH Transaction' for deposit on the date specified above. A transaction that is returned to PCM for any reason is subject to a returned item fee by your banking institution and PCM's bank. You authorize us to collect a fee of $25 through an electronic fund transfer from your account if your payment is returned unpaid. An ACH transaction will be produced utilizing the information from this form you are submitting. You also authorize subsequent attempts to clear this transaction if the orginal is dishonored or returned for any reason. By clicking on the "Process Payment" button you are accepting these terms and conditions and any stated fees for using this service. Please print a copy of this page for your records.

This is an attempt to collect a debt by a debt collector and any information obtained will be used for that purpose.

I have read the information above
and wish to make a payment.