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PRESTIGE ULTRASOUND
Quick Pay
Please enter the patient's last name, first name, and date of birth. Enter the patient's zip code (to prepay) or the statement # (to pay the balance).
Last Name:
*
First Name:
*
Date Of Birth:
*
AND
Patient Account# / MR#:
OR
Statement#:
(
This can be found in the statement you received
)
OR
Zip Code:
Proceed To Pay
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