Course Payment Form

Thank you for your registration! The below options provide details on course payment. You may opt to submit payment directly online or call us for payment processing. Please be aware registration forms will not be processed or accepted without receiving a form of payment.

Secure Credit Card Processing

Using this option will take you to our secure, credit card processing service. It's quick and easy!

Payment in Full: ($3,595)
Down Payment **: ($850)
Custom Payment Amount:

** Down payment is followed by $280 per week for 10 weeks (Total: $3,650)

CareCredit® Extended Financing

You can apply online for CareCredit financing in total privacy at Under "Doctor's Name" write "Richard Erickson, DDS" or "Phone" put our phone #: 770-973-0496

To insure your approval, enter the FULL FEE of $3,595, and make sure all information is correct, Include ALL sources of household income (salary, bonuses, alimony, investments). Consider using a co-applicant if your application is denied.

Upon approval, you will be given a 16 digit number, beginning with "6019". Please contact our office and provide this number.

Call our Office

If you would like to setup specialized payment plans or have additional questions, please contact us directly.
Phone: (770) 973-0496