Bill Payment Portal

HomePatient InformationBill Payment Portal

Pay Your Bill Online

For your convenience, you may pay your Henry J. Austin Health Center bill online by filling in the information below. A red asterisk indicates a required field. You can find your account number on the top right-hand corner of your billing statement.

Having trouble finding your account number? See these examples: Bill example for medical, bill example for dental.

Fill in the date of service if you only wish to pay for a specific date of service.

If you have any questions please call the billing office at 609-278-6376. Thank you!

Patient Name*
First Last
Account # found on your statement*
Date of Service
Month
Day
Year
Type of Service
- Medical
- Dental
Your Phone #*
Your Email
Cardholder Billing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Patient Bill Payment Amount*
Total
$0.00
Credit or Debit Card Information
Card Details
Cardholder Name
Comments
This field is for validation purposes and should be left unchanged.

Bill Payment Portal

Pay Your Bill Online

Patient Information

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