Orthopedic Associates Bill Pay - Orthopedic Associates

Please fill out the form below to complete your payment online. Our billing department will process your payment within 48 hours and a receipt will be sent to your email address.

Please call our financial department at 214.222.6612 or 214.222.6616 if you need assistance.

Patient Information

Full Name

Doctor

Date of Birth

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Payment Information

Account Number

Amount

Credit Card Number

Card Expiration Date

Card Security Code

Billing Address

Address

City

State

Zip Code

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Your payment has been processed, a confirmation email will be sent for your records.

Your payment could not be submitted, please contact our billing department at (214) 222-6618.