1.800.830.4321 (toll-free)

Secure Online Payments

This convenient online payment form is for patients of Sleep Care Solutions and Care Solutions, Inc.

Patient Information
Location of Service :
Invoice Number:
First Name:
Last Name:
Date of Birth :
Email Address:
Phone:
   
Billing Information (matches your credit card)
First Name:
Last Name:
Address 1:
Address 2:
City:
State:
Zip:
Email Address:
Phone:
   
Amount: (Format: XXX.XX)
   
Credit Card Number:
Expiration Date:
Security Code:
   
Please only press the button below ONE TIME or your card may be charged twice.
   
 
 
Credit Card Processing
 
   

You agree to abide by the refund policies of Care Solutions Inc and Sleep Care Solutions. CPAP/Auto PAP/BiPAP and/or supplies refunds are only permitted if product is unopened. Refunds on sleep studies permitted if sleep study is not performed. Refund amounts will be 75% of the original purchased product price.  No refund after 21 days from receipt of payment.
Corporate Office: 5211 Linbar Drive Ste 508   .   Nashville, TN 37211   .   (800) 830-4321