Patient Payment Gateway
- Enter your full balance amount shown on your printed bill below
- Click the Submit button
- You will be taken to a new screen to fill out all of your information.
- Make sure to type in your account number in the Memo field at the bottom of the form.
- Once all your data is entered, you will receive a receipt via email
- Please make sure all of your personal info that you enter in the form matches the info on your printed bill exactly
- DO NOT hit the BACK button in your browser during this process, it may cause a DUPLICATE CHARGE against your bank account!
For support, you can contact us via:
- Phone at (901) 767-0101