I authorize Orleans Community Health to process the above payment of $. I also authorize Orleans Community Health to store this information in compliance with payment processing regulations and to charge the card listed above for future payments in accordance with their terms. I understand that to make any changes to this authorization I must contact Orleans Community Health prior to the payment date.
I authorize Orleans Community Health to process the payments as outlined in the payment schedule. I also authorize Orleans Community Health to store this information in compliance with payment processing regulations and to charge the card above for future payments in accordance with their terms. I understand that to make any changes to this authorization I must contact Orleans Community Health prior to the payment date.
Please include your Orleans Community Health patient account number when submitting your payment.
If you have any questions please contact our office at 585-798-8422 Thank you for using our online convenient payment center.