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OUR CONSULT RATES...

Our online payment form is included below. If you have any questions, please use our online contact form. The email form is NOT HIPAA compliant, so do not email any medical information.

If you prefer, you may also pay using PayPal and we will send you an invoice.

Payment Information

all fields are required.

Patient Account Number:

Patient Name:

Amount:

Credit Card Information

I have:

Card Number:

Expiration Date:

CVV:

Name on Card:

Billing Information

First Name:

Last Name:

E-mail:

Address:

City:

State/Province:

ZIP/Postal Code:

Country:

Your health is the most valuable asset you have.
TVN is your link to HEALTHCARE EXCELLENCE.

Proceed with virtual Consult