We are proud to offer secure online payment options for your convenience.

Thank you for choosing Bauer & Clausen Optometry
for your eyecare and eyewear needs.

It’s a pleasure to serve you.

<p align="center"><form method="post" action="https://www.payjunction.com/trinity/quickshop/add_to_cart_snap.action"><!-- [et_pb_line_break_holder] --> <input type="hidden" name="description" value="Payment on Account"><!-- [et_pb_line_break_holder] --> <input type="hidden" name="need_to_ship" value="no"><!-- [et_pb_line_break_holder] --> <input type="hidden" name="need_to_tax" value="no"><!-- [et_pb_line_break_holder] --> <input type="hidden" name="identifier" value="Payment"><!-- [et_pb_line_break_holder] --> <input type="hidden" name="quantity" value="1"><!-- [et_pb_line_break_holder] --> <input type="hidden" name="store" value="4dtta67"><!-- [et_pb_line_break_holder] --> <input type="hidden" name="fingerprint" value="6cdbdcc21388d948070428f3e2e799c3"><!-- [et_pb_line_break_holder] --> <label align="left">Please enter the amount you wish to pay in the box below. The following pages will allow entry of payment type, credit card and billing information.</label><!-- [et_pb_line_break_holder] --> <input type="text" name="price"><!-- [et_pb_line_break_holder] --> <table><!-- [et_pb_line_break_holder] --> <tbody><tr><!-- [et_pb_line_break_holder] --> <td align="left"><!-- [et_pb_line_break_holder] --> <input type="submit" name="submit" value="Make Payment"><!-- [et_pb_line_break_holder] --> </td><!-- [et_pb_line_break_holder] --> </tr><!-- [et_pb_line_break_holder] --> <tr><!-- [et_pb_line_break_holder] --> <td align="left" valign="top"><!-- [et_pb_line_break_holder] --> <img src="https://payjunction.com/payjunction_secure_credit_card_merchant_account_transaction_process.gif"><!-- [et_pb_line_break_holder] --> <a target="_blank" rel="nofollow" href="https://www.payjunction.com" style="text-decoration:underline; color:#666666">PayJunction</a><!-- [et_pb_line_break_holder] --> </td><!-- [et_pb_line_break_holder] --> </tr><!-- [et_pb_line_break_holder] --> </tbody></table><!-- [et_pb_line_break_holder] --></form></p>

Not sure what is your balance due? Log into your Personal Health Record (PHR) here to find your balance due.
Once you have confirmed the amount, return to this page.