nobody Change Office/Patient Help Change Password Logout
logotext
BCFC Patient Payment
INSTRUCTIONS
Please fill in the form below and click on Submit to Submit your Payment.
PATIENT INFORMATION
AMOUNT
CONTACT INFO FOR BILLING RECEIPT
CREDIT OR DEBIT CARD
disclaimer
When you click "Submit" you are authorizing funding for a payment. Make sure you have adequate funds to cover the payment. Do not complete this transaction if you do not agree to these terms. REFUND POLICY: All sales are final and no refunds.
BCFC Payment
Please wait while we process your payment...
spacer image
Charge Amount(css hidden)
spacer image
Select Card
Charge
spacer image
hidden holder
Submit medi pageButton2
spacer image