This is the universal enrollment form that is
required when signing up for, or adding to
ANY DOCPAY services.
This is the additional enrollment form that is required
when signing up for DOCPAY's Credit Card services.
BOTH of these forms are needed in order to sign up for
DOCPAY Payment Plans with the Credit Card Payment Option
.
IMPORTANT
Your forms can be completed online, but they MUST be printed,
signed and faxed to 800-481-0946 to be processed!