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Please enter your information into the form below and click ‘pay now’. You will be redirected to the Payeezy Payment Gateway to complete your transaction.

If you have questions, please call 937-436-5763 from 9:00 AM to 5:00 PM CST.

Refund policy

Credit card payments will be returned to the credit card on file, all other refunds will be submitted with a live check, once the claim has been paid in full, and can take up to 30 days.

Please note that the page where credit card information is entered is secure.

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Appointments@DaytonOrthopedicSurgery.com

(937) 436-5763

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