Your safety is our highest priority.
Make a Payment
At Lighter Dream Bariatrics, we provide secure and flexible payment options to make your journey simple and stress-free. Please review the options below and choose the one most convenient for you.
Secure Formstack checkout
Debit & credit cards
4.9% processing fee
Debit or Credit Card
Complete your secure online payment using the form below. By submitting, you authorize the total amount including the processing fee to be charged to your card.
- Encrypted payment authorization
- Instant submission confirmation
- Coordinator follow-up support
Secure Checkout
Pay with credit or debit card
Fill out the form carefully. Include your full name and payment details exactly as instructed by your patient coordinator.
SSL-secured payment form
Processing fee: 4.9%
Need help with your payment?
Contact your patient coordinator or call our care team for assistance before submitting.