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Surgery Deposit

HERE YOU CAN PAY YOUR SURGERY DEPOSIT

Surgery Quote and Booking Policy
Terms & Conditions

1. Quote Validity The quote you received is valid for 15 days from the date it was issued. 2. Deposit and Extended Validity By making a $500.00 USD deposit, your quote will remain valid for 6 months. During this period, you may schedule your surgery on any available date. 3. Booking Your Surgery To secure a surgery date, you must pay the $500.00 USD deposit described above. 4. Payment Schedule Once your surgery date is booked, payments must be made as follows: First secure payment (3 months before surgery): Amount: 500 USD Due Date: 3 months before your date Second secure payment (1 month before surgery): Amount: 500 USD Due Date: 1 month before your date These payments will be applied toward your total surgery cost. The remaining balance must be fully paid on or before the day of surgery. ⚠️ If your surgery is scheduled to take place within less than one month, you will only need to pay the $500.00 USD deposit to book your date, and the remaining balance must be paid in full on the day of surgery. ⚠️ Failure to make any scheduled payment will result in the cancellation of your surgery date and the loss of all payments made. 5. 10% Discount Paying Cash Policy Coverage: The 10% discount is applied only to the portion of the total price quoted that is paid in cash. Eligible Payment Methods: Only cash payments activate the discount on the amount tendered in your quote. EXCLUSION: Any payments (deposit, secure payments or balance) made through online links, web page, bank transfer or credit or debit cards do not qualify for the discount and will be processed at the standard price. 6. Refund Policy All deposits and secure payments are NON-REFUNDABLE and NON-TRANSFERABLE under any circumstances. 7. Rescheduling Policy You may reschedule once without penalty up to 15 days before your surgery date. Rescheduling within 15 days of your surgery date will result in the loss of your deposit. Exceptions apply only in cases of verified emergencies or medical conditions preventing surgery. To qualify, you must provide valid documentation (e.g., medical note or insurance claim). 8. No-Show Policy Failure to appear on the scheduled surgery date (no-show) will result in the loss of all payments made. 9. Quote Expiration If you do not book your surgery within the 6-month validity period after paying the deposit, the deposit will be forfeited. To rebook, you will need: A new quote (subject to price updates) A new deposit 10. Procedure and Quote Changes Once your surgery date has been scheduled and the deposit paid, the following policies apply: If you decide to remove or replace any procedure with a lower-cost one, a $500.00 USD administrative fee will apply. If you wish to add procedures, you will simply pay the additional cost—no administrative fee will apply. If you request to completely change your surgical plan and obtain a new quote, a new total cost will be issued, and a $500.00 USD administrative fee will apply if the new quote is lower. 11. Pre-Surgical Requirements Please carefully read the pre-surgical checklist and day-of-surgery cancellation policies to ensure full understanding and compliance.

Payment
Agreement

1. Payment Method The Patient/Client agrees to make payments through one of the following methods: Zelle, PayPal, Check, Credit or Debit Card, Bank Transfer, Online Links or QR, Cash or Direct Deposit, with the terms & conditions and fees mentioned in their respect document. 2. Acknowledgment of Finality The Patient/Client understands and agrees that: • All payments made any via like Zelle, PayPal, Check, Credit or Debit Card, Bank Transfer, Online Links or QR, Cash or Direct Deposit, are final and non-refundable and non-transferable under any circumstances once the transaction has been completed. • The Patient/Client acknowledges that they have had the opportunity to review the terms and conditions of service and payment details, read and understood them prior to making a payment, and agreed to these terms in full. 3. Dispute Clause The Patient/Client further agrees to the following conditions regarding disputes: • By choosing any of the specified payment methods, the Patient/Client expressly waives any right to refunds, disputes, claims or reverse the payment once it has been processed. • Any attempt to initiate a claim, payment reversal or dispute (chargeback) with the corresponding banking institution or through any of the accepted payment platforms, it will be deemed a violation of this Agreement and may be treated as fraudulent activity, subject to legal consequences. 4. Fraudulent Activity The Patient/Client understands that: • Initiating a dispute or chargeback after agreeing to these terms is not only a breach of this Agreement but may also be considered an act of fraud. • The Provider reserves the right to take legal action against the Patient/Client in the event of fraudulent disputes, including but not limited to recovering any losses incurred as a result of such actions. • If a fraudulent claim or dispute process is initiated, the client will be responsible for all legal expenses, including attorneys fees, administrative costs and any additional penalties that may apply. 5. Signatures By signing below, both parties acknowledge that they have read, understood, and agree to abide by the terms of this Payment Agreement.

Once Terms & Conditions and Payment Agreement readed, proceed to fill your info please.

Payment Method Used
Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

Once your info is sent

Please, submit your payment:

 

Payments with NO extra Fees
 

Send the amount corresponding to your required surgery deposit:

$500.00 USD (Full Deposit)
$400.00 USD (If you already paid for the consultation)
$300.00 USD (For minor surgeries)


No processing fees apply
to these payment methods.

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CASH 

Available only for appointments scheduled and paid directly at our office.

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ZELLE

Email: dramayamd@gmail.com

Business Name: Casa Blanca Group

Jos & Moni LLC

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CHECK DEPOSIT / 

WIRE TRANSFER  

Account #: 4881 2605 8985

Routing # (electronic payments): 111000025

Routing # (wire transfers): 026009593

Business Name: Casa Blanca Group

Jo's & Moni LLC

Address: PO BOX 5931, Brownsville,TX 78523

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PAY IN A MEXICAN BANK   

Account #: 1366763909

CLABE: 072818013667639092

Name: AMAYA URMENETA BELTRAN

SWIFT: MENOMXMTXXX

Payments with a Processing Fee
 

Click and pay the amount corresponding to your required surgery deposit:

$500.00 USD (Full Deposit)
$400.00 USD (If you already paid for the consultation)
$300.00 USD (For minor surgeries)


A 6% processing fee apply

to any card payments.

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CREDIT OR DEBIT $500.00 USD

Visa, Master Card, American Express

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CREDIT OR DEBIT $400.00 USD

Visa, Master Card, American Express

payment-brand-logos-visa-mastercard-amex-vector-42788527.avif

CREDIT OR DEBIT $300.00 USD

Visa, Master Card, American Express

If Zelle or Deposit/Transfer payment done, once paid, please send your receipt HERE and go to the next step.

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BOOK NOW YOUR CONSULTATION.   OFFICE 1 (956) 368-7735     FAX 1(956) 368-7782     WHATSAPP +19566174498

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