Make a Payment If you have any questions, you can call us at (440) 333-4949. Make a Payment Patient Name * Email * Parent/Guardian Name Patient's Date of Birth * Payment Amount * ($10 minimum. Only numbers and decimals, do not include $) Make this a recurring monthly payment? * No Yes (You will need to contact us to have the recurring payment cancelled when you are finished paying.) Name on Card * Credit Card * Type of Card * Mastercard Visa Discover Amex Submit
