Pay Your Bill

Pay your statement balance mailed to you online using our secure payment form below.

We accept most major credit and debit cards
No additional processing fees

Complete all the required (*) fields and select Submit. A copy of the transaction will be emailed to you using the email address you provide in the Payer Email field.

Patient First Name:*
Patient Last Name:*
Payer Email:*
Payer Phone:*
Patient File #:
Street Address:*
City:*
State:*
Zip:*
Physical Therapy (PT):
Occupational Therapy (OT):
Speech Therapy (ST):
Other Service:
Total:
$0.00
Credit Card:*

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
Comments
This field is for validation purposes and should be left unchanged.

Pay Your Bill

Pay your statement balance mailed to you online using our secure payment form below.

Cheshire Location

Meriden Location

Orange Location