Transform Payments, Enhance Profits in Surgical Practices
Eliminate Processing Fees

of surgical practices using Strictly report faster collections, improving cash flow for high-cost procedures.

of patients want to pay by text Strictly makes this possible with secure “Pay by Text” solutions.
POS Lending: How does U.S. Bank Avvance work
It’s easy to offer Avvance as a payment option. Your patients can easily apply for financing within seconds via any online device, when they click on your Avvance payment link or scan your unique QR code. Once approved, they can use Avvance financing to pay for their treatment or service, and select the loan option that works best for them.
Once your patient or client has paid with Avvance, you get paid within 48 hours for the full transaction amount
Why Choose Us
Remove your risk
Business is paid the full transaction amount within the next 48 hours. U.S. Bank handles the consumer repayment.
Empower your patients
Offer them the peace of mind that comes from flexible and transparent financing options.
Improve the payment experience
Pre-approval is valid for 15 days, giving your patients time to make important decisions about their care.
Get pre-approved for financing
Know your spending power before you shop.
Financing is offered through U.S. Bank
Connected to the Systems You Already Use
Trusted by Leading Surgical Practices
Strictly is built for surgical centers that demand efficiency, security, and modern patient experiences. Examples include:
- Xiluet Plastic Surgery Miami.
- Rejuv Cosmetic Surgery Institute.
- Imagos Institute of Plastic Surgery.
- Divine Plastic Surgery.
Your surgical practice could be next to reduce fees and streamline patient payments.
Operational Efficiency & Profitability
Streamlined Front Desk Scheduling, check-ins, and payments in one system.
Virtual Terminal Browser-based tool for quick manual entries.
Real-Time Insights Transparent reporting and dashboards.
Financing & Payment Plans Increase accessibility for elective and non-elective surgeries.
Modern Patient Experience & Security

Text to Pay
Meet patient demand for mobile convenience.

Card on File
Simplify follow-up visits and post-op payments.

HIPAA-Compliant
Protect patient data and payment workflows.

Contactless Payments
Apple Pay, Google Pay, and tap-to-pay.

PCI DSS-Compliant
Secure by design with built-in 3D Secure and fraud prevention.
©2025 U.S. Bank. Avvance is a registered trademark of U.S. Bank N.A. in the United States and/or other countries. All rights reserved. This document is prepared by U.S. Bank Payment Services as a service for its customers. The information discussed is general in nature and may not apply to your specific solution.