Payments can be made by cash or credit card. If Dr. Jayaram cannot make the appointment, then a full refund will be credited. If the appointment is canceled prior to 48 hours before the scheduled appointment, then a full refund will be credited.

If the appointment is canceled prior to 24 hours before the scheduled appointment, then a 50% refund will be credited. However, $10 will be subtracted from the refunds for online payments due to processing fees.

After an appointment is confirmed by Dr. Jayaram, credit card payments can be processed securely by Google Checkout.
1. Please select the type of appointment from the pull-down menu.
2. Then click on the "Buy Now" button to process your payment with full security provided by Google.