For your convenience, we accept online payment on any outstanding balance you may have. These forms are secure and confidential. Please complete and submit the appropriate form for your respective treatment location.
We recommend viewing this page in Google Chrome or Firefox. Using Internet Explorer browser may cause the payment form to not function as intended. Cookies must be enabled on your computer.
Please note you may experience a delay after you click the “Pay Now” button while the page transitions to the next page.