Update Credit Card Information

Please update credit card information for accurate billing.

lotustherapyfl@gmail.com
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Email *
Phone Number *
Name As It Appears On Credit Card *
Credit Card Number *
Expiration Date *
Security Code/CVV Number *
Billing Zip Code *
Crystin Nichols reserves and respects your time to see you when you make an appointment with her. It is important that clients respect the therapist’s time as well. Cancelations or changes to session without 48 hour minimum notice will be charged full fee. By checking the financial agreement box below, you acknowledge the financial agreement and agree to comply.
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