Online Payment

Children’s Medical Center offers the option to pay part or all of your outstanding invoice online using your credit card. Please fill out the form below to make your payment. Print the confirmation screen for your records.

  • Account Information

  • If you would like a receipt of this payment sent to you via email, please provide a valid email address.
  • Payment Information

  • The account number to credit this payment towards.
  • The amount you wish to pay. You can pay all or part of your outstanding balance.
  • American Express
  • This field is for validation purposes and should be left unchanged.