Family Medical Walk-In Clinic – Springfield

Current walk-in wait time is min.

4049 S Campbell Ave.
Springfield, MO 65807
417-890-5550

Family Medical Walk-In Clinic – Nixa

Current walk-in wait time is min.

103 N Old Wilderness Rd.
Nixa, MO 65714
417-851-4044

Family Medical Walk-In Clinic – Republic

Current walk-in wait time is min.

281 US Highway 60 West
Republic, MO 65738
417-851-4046

Sample Page

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
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