Pay Your Bill Online

Patient Name (name as appears on statement)*

Address*

Street Address City State ZIP

Phone*

Email*

Enter Email Confirm Email

Date of Birth*

Account #*

Confirm Account #*

Payment Amount*

Credit Card Info*

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

CAPTCHA

Phone

This field is for validation purposes and should be left unchanged.

Privacy Statement

All information collected with this form is strictly provided for internal processing and will not be shared with any third party. No information is sold or given away for any other purpose. Credit card information is processed securely and encrypted through the Authorize.net gateway and not stored for future use.

Terms of Use

This form is intended for use in order to pay existing bills for services rendered. All sales are final.

Saratoga Springs Office

Saratoga Springs Office

Clifton Park Office

Clifton Park Office

Schodack Office

Schodack Office

Chatham Office

Chatham Office

Schenectady Office

Schenectady Office

Cobleskill Office

Cobleskill Office