I authorize Horizon Health Services, Inc. to process the above payment of $. I also authorize Horizon Health Services, Inc. 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 Horizon Health Services, Inc. prior to the payment date.
I authorize Horizon Health Services, Inc. to process the payments as outlined in the payment schedule. I also authorize Horizon Health Services, Inc. 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 Horizon Health Services, Inc. prior to the payment date.
This payment is for services rendered in Buffalo, NY and surrounding areas.
Please include your Horizon 5- or 6- digit client number located on the upper right hand portion of your statement in the Acct#/Reference section when submitting your payment. If you do not have your client number, please include your date of birth.
If you need your client number or have any questions please contact our office at 716-831-2700. Thank you for using our online convenient payment center.
Please note there are NO convenience fees when paying by electronic check or credit card.