Payment

If you visited Digestive Health Specialists on or before February 20, 2018 please use this form to pay your bill.

Patient Information
MMDDYY - Example: 031292
Male
Female
Payment Information
Please enter dollars and cents. Do not include the dollar ($) sign. Example: 40.00
Use the two-letter abbreviation. Example: NC
MMYY format. Example: 0131