To complete this request, please send a secure email to

Required Email Subject: Invoice or Receipt Request

Information to include in your email:

  • First Name:
  • Last Name:
  • Patient Email:
  • Patient Account:
  • Invoice #:
  • Date of service needed for invoice or receipt (dd/mm/yyyy):
  • In body of email please add any additional information.

You may also fax the above details to 919-714-5235