Pay My Bill

PATIENT NAME, DATE OF BIRTH AND ACCOUNT NUMBER ARE REQUIRED. IF YOU ARE A PARENT PAYING FOR A MINOR PLEASE MAKE SURE YOU PROVIDE THE MINOR'S NAME AND DATE OF BIRTH.

A 3% CREDIT CARD SURCHARGE WILL BE APPLIED TO ALL CREDIT CARD TRANSACTIONS. CASH AND DEBIT CARD TRANSACTIONS ARE NOT SUBJECT TO A SURCHARGE.

(*): Mandatory Fields

Patient First Name: (*)
Patient Last Name: (*)
Patient DOB: (*)
Patient ID Number:
Payment amount $: (*)

Pay My Bill

Pay My Bill

River Road (off Zorn Avenue) U of L South Medical Plaza 2 (Shepherdsville)

River Road (off Zorn Avenue)
U of L South Medical Plaza 2 (Shepherdsville)