Pay My Bill

Credit Card

Please use the form below to pay your bill. After clicking "Continue," you will be redirected to a secure form to enter your credit card information. 

NOTE: Fields marked with * are required.

Patient Information

Amount

Billing Information

 

If you have any questions about your bill or if you would be interested in learning about our payment plan options, please give our billing department a call at (205) 343-0909.