Plessala Gynecology & Fertility

Gynecology & Fertility Healthcare

Pay Without Statement

Pay Without a Statement

Please fill out the form below to begin the process.

Plessala Gynecology and Fertility, PLLC Order Form
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Thank you for paying Plessala Gynecology & Fertility. Please enter Patient's Last Name, Date of Birth, and Amount Due below (ex: White, 01/21/1991, $100)

Patient Last Name Amount Due
Patient Date of Birth
Patient Account Number (*optional)
Select "Continue" to be directed to our secure payment page. Thank you for your payment!