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Therapeutic Phlebotomy Payment

If you provided your email address, you will be emailed two types of receipts, but your credit card will only be charged once for the payment. You will receive an authorization receipt that shows the amount that your credit card company has approved for payment but has not yet charged to your credit card. The second charge receipt is the actual and final amount charged to your credit card.


Donation Information (Step 1 of 2)

Patient Information
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