Bill Pay

WELCOME TO ONLINE BILL PAY

To apply a payment towards your account simply complete the form below. Please allow 1-2 business days for your payment to reflect on your account. If you have any questions, or if you would rather pay over the phone, give us a call at 417-450-4805 and we will be happy to assist!

Type of Payment*
- Individual/Family
- Corporate
Name*
First Last
Email*
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Corporation Account Name*
Patient Account Number*
Account Number*
To make a payment, complete the form by entering the amount you want to pay, followed by your credit card information. Unsure of how much you need to pay on your account? Just give us a call at 417-450-4805 and we will be happy to assist you!
Amount*
Total
$0.00
Credit Card

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Authorization*
- I am authorized to charge this card for the specified amount indicated above.
- I submitted my credit card information and payment amount in the above form.
Signature
CAPTCHA

PH: 417.890.5550

FX: 417.351.6125

Bill Pay

WELCOME TO ONLINE BILL PAY