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Required*
*Patient's Full Name
*Date of Birth
*Account Number
*Address
*City
*Country
*State/Prov
*Zip Code/Postal Code
*E-mail Address
*Telephone Number
*Payment Amount USD

 

Security -Your privacy is important to us. The personal information you enter online such as credit card, name, phone number, email and mailing address, are protected by InternetSecure.

Personal Information - This site may request personally identifiable data from you (“personal information”), Which may include your email address, and other personal information such as your address, telephone number, etc., and in the case of online giving, credit card number and expiration date. In addition our web server may automatically recognize and store your email address or your domain name when you log into our site or the email address of those who communicate with us via email. And we may aggregate information about what pages on our site you visit or access. Edinger Medical Group endeavors to do its best to protect the privacy of your personal information and will not use this information except in connection with your use of this web site and for the development of the website so that we can provide you with the highest quality of services. We may use your email address to send you information concerning the organization and this website, unless you advise us that you do not wish to receive this information.

Refund Policy - We appreciate your payment. If you believe we have made an error in processing please call us at: 714-965-2578.

 

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