Make a Payment

Online Payment Steps

1. 1

   Step 1

   Enter Your Details

   Must enter the following information:

   • Email
   • Patient First Name
   • Patient Last Name
   • Desired Payment Amount
   • Click Next

   
2. 2

   Step 2

   Enter Card Information

   Must enter the following information:

   • Enter your Credit Card Number
   • Enter the Credit Card Expiration Date
   • Enter CVC / Security Code
   • Click Next

   
3. 3

   Step 3

   Enter Billing Details

   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

   
4. 4

   Step 4

   Submit Payment

   Must Click Submit Payment:

   • Click Submit Payment

   
5. 5

   Step 5

   Confirmation

   Confirmation:

   • Green "Payment received" is a confirmation
   • You will also receive an email confirmation of payment