A Payment Solution For Your PatientsYour health is our priority. With our streamlined approach, FastSuperAccess offers personalized care to help patients cover the costs of their medical treatment.Refer a Patient Address177 E Houston StNew York, NY 10002 Phone+(888) 695-9859 Emailinfo@fastsuperaccess.com Enter Patient Details First Name *Last NamePatient Email *Patient Phone *Patient Date of Birth *Medical Treatment Required *Dental TreatmentIVF TreatmentWeight LossOther Medical FundingCommentsAllow FastSuperAccess to complete the details as per the agreed standardised treatment details.Referring Clinic NameClinic Contact NameClinic Phone Number *Clinic Email *Patient Treatment PlanChoose FileNo file chosenDelete uploaded filePayment Method *Select Payment MethodPatient PayingClinic PayingSplit Payment (Patient and Clinic Paying Half Each)Submit
