Pay my bill

Please complete the following form to pay your bill. Once you click “Submit”, you will be taken to our billing portal to complete payment. Use guest checkout once in the portal.

If paying on multiple patient bills, please submit each payment separately with the correct patient ID.

Billing/Privacy Policies:
Refund Policy-
Due to the complexities of Medical Billing and Insurance contracts refunds are handled on a case by case basis.

Privacy policy-
We do not collect any private information on our website. If you link to our portal all information within that program is protected by HIPPA laws and is clearly outlined in the portal privacy policy.  We do not sell, assign or otherwise transfer information or data to third party vendors.  For credit card payments please refer to the credit card link for further information.

Company contact information-staff.jonesfm@gmail.com
We do not use cookies, log files or tracking on this website.