To pay your bill online, you will need your billing statement and a valid Visa, Discover or Mastercard in order to complete the form below and submit your payment.
Payments are made for health services rendered. You should have received a bill by mail with a description of the type of services provided. If you have any questions regarding your billing statements, please feel free to contact our billing office before making a payment.
The billing office can be reached by calling 1-888-292-8810 or by emailing firstname.lastname@example.org be sure to provide your Patient Account Number, Master Account Number or Statement Number. For your protection, please do not email any personal information such as social security numbers, date of birth, insurance ID numbers, etc. It is best if this type of information is provided only by phone to protect your identity.