Suite 1, Level 6
17-21 University Avenue,
Canberra City,
ACT 2601

Tel: 02 6249 7818
 

Pay your account online

Paying online is easy. Fill in the form below along with your invoice number and total amount.

Patient
 
Full Name:
Full Address:
State:
Post Code:
Telephone:
Email:
 
Payment
 
Invoice Number:
Total Amount: $
   
Card Type: Visa   Mastercard  
Card Number:
Name on Card:
Expiry on Card