Payment Page

You may experience CAPTCHA errors at the time of sale. To ensure your payment is successful, we advise you to manually enter all data fields (payment, billing, etc) and not allow web browsers to auto-fill data when making the payment. Do not use tab or arrow buttons to navigate the page when completing your payment form. If you've already failed a CAPTCHA please clear your cache and cookies and try again with the above method. Or try using a different web browser to try again while being careful to not allow auto-fill.

*If you are making a payment for services rendered at our center (COVID-19 testing, telemedicine, or our curbside exams etc.), please leave the Account Number field Blank and type your birthdate # (in the format: MM/DD/YYYY) in the invoice field . Otherwise, if you are paying a bill: Please input your Customer Number from your invoice.

Account Number

Patient Name

Invoice Number

Total Amount Due:

Payment Info

Payment details

Card Number

Expiration Date

Security Code (CVV)

Billing Info

Company Name

First Name

Last Name

Address 1

Address 2

City

State

Zip/Postal Code

Country

Email Address

Phone #

lock Payment Page

Payment Info

Payment details

Billing Info

Payment Page