To pay your bill (or the patient's bill), fill out the form below. The information required is that of the PAYER. If you are not the patient, list him/her at the bottom so we can apply the payment to the correct account. If you are paying for multiple bills at once, explain in the Miscellaneous box at the bottom of this form.
Once the form is complete, enter the verification code provided at the bottom and click the submit button. If it doesn't go through and you get an error, just try again using the next code the website provides. Your payment will ONLY be processed once. If you have any further troubles, contact our office directly at 373-9090.