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Online Payment

Your Details

First Name*
Last Name*
Email*
D.O.B
NHI Number
If you are unsure please leave blank
Contact Number*
Address*
City*
Postcode

Surgery Details

Name of Patient*
Date of Surgery
Estimate No.
If you are unsure please leave blank
Amount to Pay

PAYMENT

After clicking the 'Process Payment' button, you will be redirected to the secure payment gateway where your payment details will be requested. After processing your payment on this site you will be brought back to your receipt.

Please wait while we adjust your payment options