Make A Payment

Please Enter Your First & Last Name:
(Example: John Smith)


Please Enter Your Patient Account #:
(Example: 12345)


Enter Amount Due: (Example: $123.45)






Directions

1. Fill out the following information. 

2. Upon completion, click/tap "Pay Now"

3. On the next page login and pay with your PayPal account or click/tap "Pay with Credit or Debit Card" to complete the payment.