Online Bill Payment
Pay your clinic bills online by filling out the form below.
You will need the account number found on your clinic
statement
Billing Info
(Sample Statement)
Amount
Credit Card Info
Month
01-Janaury
02-February
03-March
04-April
05-May
06-June
07-July
08-August
09-September
10-October
11-November
12-December
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
PAY NOW
Online Payment Service
About Secure Payment