Invoice Payment

Did you receive an invoice in the mail? Use your credit card to submit a payment to Liberty Doctors.
  • Patient Info and Payment Amount

  • Enter the Patient's Name here. Note that this may be different than the payer's name, which you will enter below.
  • Date Format: MM slash DD slash YYYY
    Enter the Patient's Date of Birth
  • Type "none" if you do not have access to your statement.
  • Credit Card and Billing Information

  • $0.00
  • American Express
  • We will contact you at this number if we have any questions in regards to your payment.
  • The payment receipt will be sent to this email address.
  • This field is for validation purposes and should be left unchanged.

Transaction Processing