Durable Medical Equipment
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We make it easy to pay your bill online. We accept Visa or Mastercard

 

VisaMastercard

 

Note: A 3% credit card fee will be added to your payment amount!

Your Name or Patient name if different
Statement #
Amount
$
Amount that will charged to your credit card.
$
Name on Card Same as Patient Name
Card Number
Card Expiration Date
Card Security Code
Billing Street Address