Our Mission: We are committed to fully satisfy our customers' needs by continuous development of a team whose abilities and service-oriented attitude will provide medical care and services of the highest quality and with the utmost courtesy and efficiency.

Pay Your Bill - All fields required unless indicated as (Optional)
Patient First Name:
Patient Last Name:
Referring Physician:(Optional)
Patient Account Number:
Payment Amount:
(use dollar and cents format 105.00)
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Credit Card Number:
Credit Card security code:
(3-digit code on back of card, 4-digit on front of Amex)
Credit Card Expiration Date:
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Last name of Credit Card Holder:
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City, State, Zip:
Phone Number (area code + number):
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