Make a Payment
Online Payment Steps
Step 1
Must enter the following information:
- Patient First Name
- Patient Last Name
- Desired Payment Amount
- Click Next
Step 2
Must enter the following information:
- Enter your Credit Card Number
- Enter the Credit Card Expiration Date
- Enter CVC / Security Code
- Click Next
Step 3
Must enter the following information:
- Enter the First & Last Name of the Credit Card Owner
- Select the Billing Country of the Card (United States Default)
- Enter the Billing Street Address of Your Credit Card
- Enter the Rest of the Billing Address after entering Street Address
- Click Submit
Step 4
Must Click Submit Payment
- Click Submit Payment
Step 5
Confirmation
- Green “Payment received” is a confirmation
- You will also receive an email confirmation of payment