CREDIT CARD ON FILE CONSENT FORM

Our credit card processor gives us the ability to swipe your credit card or debit card in office at the time of service and/or to save it on file to use at a later date. Your card information is securely stored by the processor and is not visible to us. If you permit us to store your card information, you are giving us the ability to use it at future appointments or to pay bill statements, at your discretion.

By signing below, you are agreeing to keep a card on file for future payments.