Patient Information

   
(one account only)

Cardholder/Payment Information

credit cards accepted: Mastercard / Visa / American Express / Discover
(Optional: A verification of payment will be sent to the email address if entered. Your email address will not be used for any other purpose than to send a payment confirmation.)
(Please enter dollar and cents. Ex. 10.26)
   What is my card security number?
 

Thank you for using our online system. Please be aware that payment processing may take up to 5 days.

Refund Policy: If a payment made on this site results in an overpayment of the patient's liability for services rendered, High Point Regional will issue a refund to the appropriate payee by check.

Please contact 336-883-2500 if you have any questions or concerns regarding your payment.