Online Bill Pay

You can now pay your Elk Regional Health Center bill online using a valid credit or debit card. You may also use your PayPal account, the same as you would for a transaction conducted over EBAY. Please have a copy of your bill with you, as you will be prompted for questions requiring certain pieces of information.

To get started, please fill out the form below. You will not be able to submit your payment until all fields are filled out correctly. All fields are required. Only accounts that begin with the letters L, F or V can be paid online. When the last field is filled in, verify your data before pressing TAB. This will make the "Submit" button appear and you will be able to proceed to the payment page.


Date of Service:
mm/dd/yyyy
(What's this?)
Statement Account Number:
(What's this?)
Patient's Full Name:
(What's this?)
Payment Amount:
(Amount you are going to pay)