Make a Payment on Your Fergus Falls Medical Group Account

 

Our online payment system offers a secure and convenient option for making a payment on your Fergus Falls Medical Group account.

Please enter your information in the form below and click the "CONTINUE" button at the bottom of the form. All fields marked with an "*" are required and must be completed. Your payment is processed in "real-time". You will be notified on the screen that your payment was successfully processed and you will receive a confirmation e-mail for your records.

Your payment will post to your account within 1 - 2 business days. Please contact us with any questions.

Billing Name*:
Billing Street Address*:
Billing City*:
Billing State*:
Billing Zip Code*:
Billing Phone:
Email Address*: (for sending receipt):
Patient Account Number*: (8 digits):
Payment Amount*:

 

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