• Make a Payment to Applegate Recovery

  • ABOUT YOU (Person making the payment)

  • PAYMENT

  • Agree to Terms

    By clicking the button below I am agreeing to all terms and conditions listed above and also those items listed in my Patient Recovery Contract. I am authorizing Applegate Recovery to charge my credit or debit card for the selected amount.

  • prevnext( X )
          1 Week
          $100
            
          2 Weeks
          $200
            
          4 Weeks
          $350
            

          loading smart payment buttons...
          The payment is ready! It will be completed once you submit the form.
        • Should be Empty: