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

Payment
Method*
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.

07 577 5270