Fee Schedule Request

Does the information you entered exactly match what we have on file?
If the information you provide is different from the information we have on file, you'll receive an email asking you to try again.

How did you enter your office street address?
Use abbreviations in the Office Street Address field. For example, N (North), S (South), E (East), W (West), St (Street), Ste (Suite), 1st, 2nd, etc. Punctuation like periods or commas are assumed and are not needed for entry. 

• Example: 12345 N 7TH AVE STE 123
• Example: 11811 E MCDOWELL RD STE 101

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866.746.1834