PAY ONLINE

Step 1 of 2: Payment Information

Pay online with most major Debit Cards and Credit Cards using this QuickPay page. No login or signup needed.

 

 

Note: This payment portal is to pay fees due to HSP Medical Clinic.

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Get Started! Complete the basic info in Step 1 (this page) and check-out with your Debit Card or Credit Card in Step 2 (next page). The payments you make here will be credited to your account accordingly.


Who is making this payment?

* Means Required Fields

Making payment as *
Person completing this payment form or point of contact.

Payer's Information

Best Contact Number(s) *
         
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Patient's Information


Patient's Full Name



PAYMENT INFORMATION


Choose the item(s) for which you are making payment:




$
*Minimum online payment is $5.00 per check-out.
**A 3.00% online convenience fee will apply to the total at check-out.
**Any overpaid amounts would be credited to the respective account and would not be refunded.



$
*Minimum online payment is $5.00 per check-out.
**A 3.00% online convenience fee will apply to the total at check-out.
**Any overpaid amounts would be credited to the respective account and would not be refunded.





CONVENIENCE FEE WILL APPLY: A 3.00% Online Convenience Fee would apply to all online payments using Debit Card or Credit Card. This fee will be added to your amount already and you will pay it as part of the grand total while checking-out. You can see the total amounts in the next step.