Payment Dispute Form
If you are not happy about a recent account, please provide us with the details so that we can investigate and respond accordingly.
  • Please leave this information blank if you wish to remain anonymous.
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  • Details of your query

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  • If you respond with "No", please be aware that we still have an obligation under accreditation standards to investigate and resolve any issues brought to our attention. We will not be able to notify you of the outcome if you do not wish for us to contact you.
  • Please provide the best phone number to reach you on.
  • Please provide a valid email address so that we can respond to you accordingly.