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123 Street Avenue, City Town, 99999

(123) 555-6789


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Payment is requested at time of treatment by cash, check, or credit card (Visa or Mastercard only). Cancellations require 48 hours notice and reschedules require 24 hours notice or payment will be requested. Please call our office for pricing and plans available. Lori will be happy to explain how we might be able to bill your insurance, and if not, then what costs are involved for you.