Thomas Vision Clinic
Pay your balance safely and quickly with our online secure payment form. Payments are posted to your account same day.
Please Note:
Beginning on March 1, 2023, there is a 3.5% service charge applied to all transactions made with a credit or debit card. Payments made via cash or check are not subject to this fee.
Patient Name
*
First Name
Middle Name
Last Name
Patient date of birth
*
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Month
-
Day
Year
Date
Payment Amount
*
USD
Calculation
USD
Total
*
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USD
Total that will be collected today, including the 3.5% service fee.
Credit Card
Submit
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