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Thank you for choosing Surgical Associates to be your healthcare provider. We appreciate the opportunity to meet your healthcare needs. For your convenience, Surgical Associates offers online payments for your patient account.

Invoice

Step 1: Enter the amount you would like to pay in the “Enter Payment Amount Here” text box.

Step 2: Locate your Account Number on your latest statement and enter that number into the “Account Number” text box.

Step 3: Click on the “Make Payment” button.

Payment Form

Account Number(Required)

Enter Payment Amount(Required)

Email(Required)

Phone(Required)

Billing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Credit Card(Required)

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

Phone

This field is for validation purposes and should be left unchanged.

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Payment Form