ADVANCED CLINICAL NUTRITION - Dr. D. Smith (940) 761-4045 Welcome to our secure Client website! | Our Cell-Friendly Visitor website is: AdvancedClinicalNutrition.Com - Dr. Smith Has Over 90% National and International Client Health Success Record!
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NEW CLIENT INSTRUCTIONS
WEBPAGE - A
Step 1 - Card Payment Authorization Form
Step 2 - Two "Informed Consents"
Please Mail Originals to Dr. Smith
for Steps 1 & 2 within 24 Hours.
Make copies for your Records
The date on your first invoice is the date for the Card Payment Authorization Form.
Please complete all blanks at bottom and at right margin on each document below.
CARD PAYMENT AUTHORIZATION FORM
IMPORTANT READ FIRST
Because the processing of your payment for our services does not include swiping your credit or debit card and then signing the payment slip in our presence, our Card Processing Company requires that you complete a Card Payment Authorization Form, which provides written permission for the verbal premission you gave at your appointment to process your card payments.
Disclaimer: Information provided in website for nutritional educational purposes only
and not for diagnosis or treatment of any medical condition, disorder or disease
MAILING ADDRESS: P. O. BOX 4652, WICHITA FALLS, TX 76308-0652
Copyright 2004 Dr. Donna F. Smith All Rights Reserved
You may have noticed Google is now placing a padlock icon to the left of some website addresses as an attempt to designate "secure" vs. "unsecure" website. They are particularly interested in adding padlocks to website to assure the public that websites with shopping carts are secure for financial transactions, and not so much as a way to say the website is free of malware.
Our website does not have a shopping cart because it is what is termed an "information only" website. So our website has no need for a padlock. Regardless of the reason, they are unable to add the padlock to our secure website because it is an older web design from the 1990's. Therefore, no matter what warnings they may give you, rest assured that this website is secure.