Checkout experience

What you’ll see at checkout

Every paid step on aethraform.com — consultation deposits, treatment-package payments, in-clinic add-ons — flows through the same HelcimPay modal. The form lives on Helcim’s domain, so card data goes directly to Helcim and never to AETHRAFORM.

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The five steps of every payment

Identical for cards, Apple Pay, Google Pay, and ACH — only the input field on step 3 changes based on the method you pick.

  1. 1

    Choose your service or treatment package

    Select a paid consultation, deposit, or treatment package on aethraform.com or in your portal. The total, taxes (where applicable), and statement descriptor are shown before any payment is collected.

  2. 2

    Open the secure HelcimPay modal

    When you confirm, a Helcim-hosted iframe opens directly over the page. The form lives on Helcim’s servers — your browser sends the card details to Helcim, not to AETHRAFORM.

  3. 3

    Enter your card or use Apple Pay / Google Pay

    Pay with any major card network, or tap the Apple Pay or Google Pay button to confirm with Face ID, Touch ID, or your device PIN. Card data is encrypted in transit (TLS 1.2+) and tokenized on receipt.

  4. 4

    Helcim authorizes the charge in real time

    Helcim contacts your card issuer for an authorization decision. If anything is declined or 3D Secure is required, the modal walks you through the next step without leaving the page.

  5. 5

    Receive your receipt and confirmation

    Successful payments return to a confirmation screen with a receipt number you can save or email. The charge appears on your statement under our published descriptor; refunds and disputes use the same Helcim record.

Built-in conveniences

Mobile-first by default

The HelcimPay modal is fully responsive. On iOS the Apple Pay button appears automatically when supported; on Android the Google Pay button is offered the same way.

Saved cards, with consent

When you opt in, Helcim returns a token we can re-charge for follow-up appointments and treatment plans. Your full card number stays inside the Helcim Card Vault.

Receipts and disputes through Helcim

Every charge produces a Helcim transaction ID we can pull up for receipts, refunds, or chargeback evidence — there’s a single source of truth for the whole lifecycle.

Refunds

Refunds use the same Helcim record as the charge

When a refund is approved per our cancellation policy, we issue it through the original Helcim transaction. Helcim returns the funds to the original card or bank account. Settlement times depend on your card issuer (typically 3–10 business days). For ACH refunds, expect 2–5 business days.

Frequently asked questions

What will I see on my card statement?
The statement descriptor is set on our Helcim merchant account. It will appear under our published practice descriptor along with our customer service phone number, so you can recognize the charge.
What happens if my card is declined?
HelcimPay shows the decline reason inline. You can re-try the same card, switch to a different card, or use Apple Pay / Google Pay without leaving the modal.
How do refunds work?
Refunds are issued through the same Helcim transaction record. Once we initiate the refund in the dashboard, Helcim returns the funds to the original card or bank account. Refund settlement times match your card issuer’s policy (typically 3–10 business days).
What if I need to dispute a charge?
Reach out to your patient coordinator first — most disputes are resolved faster directly with the practice. If you choose to dispute through your bank, Helcim provides the underlying transaction evidence to your card issuer.
Is 3D Secure (Verified by Visa, Mastercard SecureCode) supported?
Yes. When your card issuer requests 3D Secure verification, Helcim renders the issuer’s challenge inside the same modal so you don’t lose your place in checkout.

Disclosures

  • Refund approval is governed by AETHRAFORM’s cancellation policy. Helcim handles the mechanics of each refund but does not determine eligibility — that decision is made by the practice.
  • Payments on aethraform.com are processed by Helcim, a Level 1 PCI-DSS compliant payment processor. AETHRAFORM never receives or stores full card numbers.
  • Card brands, network availability, Apple Pay / Google Pay support, and ACH transfer eligibility are determined by your card issuer, device, and Helcim’s availability — not by AETHRAFORM.
  • For information about financing third-party loans (CareCredit, Alphaeon, PatientFi, Cherry), see /financing-options. Helcim is the merchant processor only and does not extend credit.