Make a payment online :: George Eliot Hospital

Complete the form below to make a payment for through our secure payment portal.

Please have your invoice number to hand in order to make a payment.

Invoice Number

Account Number

Invoice Total

Card Number

Expiry Month

Expiry Year

CVV Code

Payee Name

Address 1

Address 2

City

State, Province or Territory

Country

Postcode

Telephone

If you are unable to make a payment online or require additional information then contact us by phone or email.

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