Pay Your Bill

Murfreesboro Medical Clinic gladly accepts online payments by Credit Card through our online bill payment processing center.  Please fill out the form below and then you will be sent to PayPal to process your payment.  MAKE SURE TO PROVIDE AS MUCH INFORMATION AS POSSIBLE TO ENSURE YOUR ACCOUNT IS PROPERLY CREDITED.

Please provide the following contact information:

Patient Name
Account Number
Date of Birth
Street Address
Address (cont)
City
State
Zip
Work Phone
Home Phone
Email
Comments (Optional)
Amount Being Paid
After clicking Submit you will be sent to PayPal for payment. At Paypal, you will need to enter the amount of your payment again.
Please Enter Code Into the Textbox Below (CODE IS CASE-SENSITIVE):