Update Card on File — Gordon Wong MD, MPH

Card on File

For current and new patients. Visa and Mastercard accepted. Your card details are transmitted directly to the Practice's PCI-DSS-compliant payment processor.

Secure

Card details are submitted via HTTPS and stored as a token only — the Practice never sees or holds your full card number. Visa and Mastercard only.

Cardholder Name (Last, First)*

Patient Date of Birth*

Credit Card Number*

Expiration Date*

Security Code (CVV)*

Billing Street Address*

Billing Zip Code*

HIPAA Compliant · gordonwongmd.com · Visa & Mastercard Only

Card on File

Card on File Updated