Credit Card Authorization Form (Fillable)

Utilize this form to make it simple and safe for your clients and patients to enter their credit card information. You can email this form to them to send back via secure email, secure fax, or they can print it off and bring it with them to their appointment.

You can also use this for phlebotomy schools, IV therapy companies and more!

The charge will show up as TPS Platform on your bank statement.

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