Secure Payment On-Line

Personal and Credit Card information is safe with our secure server
and PGP software, a superior encyption algorithm (1024 bit) for e-mail.

For payment towards your balance, please enter the amount in the box below.

DO NOT type $ sign in front of payment. Use only the number amount (example 75.45)
  Patient's Name:  
  Patient's Account Number:
(May be found at the top of your bill)