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Make a Payment

Please fill out the fields below to be taken to CorePhysio's secure online payment page and provide payment for:

  • Your copay or private pay visit, on or before the day of your appointment
  • Your on-account balance per your statement
  • A supply (TheraBand, kinesio tape, seat cushion, etc.)
  • A class (Core Confidence, Personal Training, RTUS, etc.)


Cardholder Name*:


Client Name*:

Payment For (copay, on account, etc.):

Patient ID:

*Mandatory fields 

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