payment processing
You may securely make a payment here for your Western Surgical or Western Bariatric Institute account. Upon approval, a receipt will be
emailed to you and your payment will be posted to your account within 2 business days. No Refunds on Account Payments, except in the
case of overpayment, then a credit will be issued to your Credit Card. Information is used expressly for payment processing only.

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Patient Information

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Last Name:
Account number:
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Credit Card Billing Information

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Zip:
Email Address (for payment receipt):
Payment Amount $:
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