Human Performance Centers is now 360 Physical Therapy!
Visit our New Site
Home
Locations
About Us
About Us
Our Mission
Meet Our Staff
Careers
Contact Us
Services
Meet Our Staff
For Patients
Make a Payment
Accepted Insurance
New Patient Paper Work
Frequent Questions
For Physicians
Call Us Today! (405) 946-7300
Billing Details
Account Number
*
First name
*
Last name
*
Street Address
*
Town / City
*
Zipcode
*
Email Address
*
Phone
*
Payment Details
Amount to Pay
Name on Card
*
Credit Card Number
CVV
EXP Month
*
Month
01
02
03
04
05
06
07
08
09
10
11
12
EXP Year
*
Year
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
Additional Comments
Submit Payment