Welcome to:

Eastes and Khanukov, M.D., P.C. Payment Screen

Please enter the cardholder's information below.
Then click the button to enter the Credit Card info.
All fields are required and will be displayed on customer receipt.

*Cardholder's Name: As printed on card.
*Description of Service:
Leave "Payment for Service" or
enter anything up to 255 characters.
*Amount : $ Must be over $1.00

We currently only accept:
Visa / Master Card / Debit.