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Welcome to The Robbins Health Alliance

We are proud to offer you Holistic Medicine

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Pay Now. Save Time.

If you are a private or self pay patient you may pre-pay for your visit. Our current patients can pay their outstanding balance on-line using paypal. This will help you avoid collection fees as your payment will be posted the same day in post cases. Co-payments are due at that time of service with out exception.

Credit Bureau
If your account has been turned over to the credit bureau a payment may still be made on-line. Your credit report will be updated upon receipt of your payment. Accounts reported to the credit bureau may result in termination from the practice.

On-line Payment - Save time and money by paying your bill on-line today.

Pre-register with our Office

First Name:
Last Name:
Address Street 1:
Address Street 2:
City:
Zip Code:	(5 digits)
State:
Daytime Phone:

Email Address:
Date of Birth	Must be 21 or older

	Self Pay Patient
Insurance Plan:
Subscriber Number:
Group Number:
Group Name:
Deductible Amount::
Co-payment Amount:
Insurance Billing Address:
Past Medical History:
Reason for visit	Enter comments here! All information is kept confidential Please bring your current medical records to your first appointment. We do not accept Medicare or Medicaid.