Pay My Bill

Please use the form below to make a payment. If you would like to speak with someone about your bill, please call (855) 347-3685 between 7:30pm to 5:30pm CST, Monday-Friday. If you would like to speak with a representative at a particular office, please visit our locations page for contact information for each office.

  • Patient Information

  • Billing Address

  • Payment Information

  • American Express
    Discover
    MasterCard
    Visa
     
  • $0.00
  • This field is for validation purposes and should be left unchanged.