Terms of Transaction
Payment of your bill will be considered final.
Our online bill payment form allows you to securely pay White Oak Medical Center patient bills worry free and at your convenience. Should you have questions, please refer to our frequently asked questions for assistance in locating the required information on your billing statement to properly submit payment.
* Denotes required fields
Patient Information
Please provide the patient information for this payment (from your billing statement) below. PLEASE NOTE: If your Patient Account number only has 8 digits, please add a zero (0) before your number below (e.g. 012345678).
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Date of Birth
(mm/dd/yyyy)
*
Patient Account/Statement Number
Payment Information
Please enter the amount you wish to pay on your patient bill below:
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Bill Payment Amount
