PAYMENT POLICIES AND AGREEMENT. By submitting payment information through this website service, you do hereby agree to the terms and conditions of this Agreement by reference. You further agree that this Agreement forms a legally binding contract between you and your card vendor and that this Agreement constitutes "a writing signed by you" under any applicable law or regulation. The information contained on this website is not intended as legal advice. By clicking "SUBMIT" button you are accepting the terms of this agreement.
1) Have your medical bill/statement with you to provide the Patient Account Number that you are making payment for.
2) Read the Payment Policies and Agreement below.
3) When prompted, select the medical practice or provider you are making payment for.
4) Provide remainder of applicable payment information and follow the instructions on the screen
5) IF YOU DESIRE AN EMAILED RECEIPT, PLEASE ENTER THE APPROPRIATE "EMAIL ADDRESS IN THE EMAIL WHERE RECEIPT IS TO BE SENT" FIELD.
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