Billing Information

To pay for your health care we accept checks, credit cards, or money orders made out to:

Answorth A. Allen, M.D.
The Hospital for Special Surgery
535 East 70th Street
New York, NY 10021
Phone: (212) 606-1447
Fax: (212) 772-1062

For those who enjoy the using the World Wide Web, we offer the following cyber-friendly alternative! Just have you credit card handy and fill out the forms below. A staff member from Dr. Allen’s office will contact you and confirm that your payment has been made:

Name:

Address:

City:

State:

Zip:

Email Address:

Phone Number:

Amount:

Type of Credit Card:
VISA MASTERCARD OTHER:

Name as it appears on Credit Card:

Credit Card Number:

Expiration Date:

Additional comments:

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