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Annual Plan

  • 12 Monthly Payments
  • 24/7/365 Access
  • $35.00 Consultation Fee

Annual Savings Plan

  • One Convenient Payment
  • 24/7/365 Access
  • $35.00 Consultation Fee

Account Information

Your Profile

Billing Information

I hereby authorize Wellspring Telehealth LLC d/b/a WellVia to debit the credit card account indicated in this web form for the noted amount on the schedule indicated. This payment is for a subscription to the WellVia service offering. I understand that returns, refunds and cancellations are to be handled in accordance to the WellVia Subscription Agreement. I also understand that this authorization will renew automatically at the conclusion of a subscription term unless I cancel it. If the above noted payment date falls on a weekend or holiday, I understand that the payment may be executed on the next business day. I certify that I am an authorized user of this credit card and that I will not dispute the payment with my credit card company, so long as the transaction corresponds to the terms indicated in this web form.