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Pay Bill Online

Any payments over $1000.00 cannot be processed online.

Payments over $1000.00 need to be sent to the address that appears on your bill by cashier's check or money order.

* - required fields

Make Payment

NOTICE: If Visit ID is not specified, the payment will be applied to the oldest service date with a patient balance owed.

Amount: *
Guarantor ID / Account Number *
Guarantor Name (responsible party): *
Location where services were rendered: *
Visit ID:

Credit Card Information

CC Type: *
Cardholder Name: *
Credit Card #: *
CC Expiration: *
CVV # (Security Code): *
Billing Address: *
City: *
State: *
Zip: *
Phone: *