I hereby authorize Central Wisconsin Anesthesiology, S.C. to apply charges to my credit/debit card. I further authorize CWA to set up recurring payments on my behalf in the amount of $ monthlyweeklybi-weekly. I understand that a representative from CWA will contact me for payment information and that all information will be entered into a secure payment portal.
To create a patient-focused perioperative experience by tailoring the highest quality anesthetic care to the individual needs of our patients and the community we serve; thereby maximizing quality, value, and patient satisfaction.
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