If you are interested in learning about our Financial Assistance Program, please print our Financial Assistance Program form, fill it out and return it to our Business Office. Aid is available for eligible patients for co-pays/deductible amounts over $500 and patients without health insurance. Financial aid packages are based on income. We also have payment plans available; those can be set up through our office.

Financial Assistance Form

Our Business Office hours are weekdays between 8:00am and 4:00pm. We accept cash, check, and credit card payments from Visa, Mastercard and Discover.

Our office can take credit card payments over the phone, and we have information on financial aid as well. Please call our Business Office at (716) 592-2871 Ext. 1319.