Billing Welcome to our online billing system. Please use the the online form below or the patient portal system to inquire about your specific bill or to submit a payment. Please note that diagnosis and treatment will not be discussed via e-mail. If you are an existing patient with a clinical question please use our patient portal. Name* First Last Email* Phone*Billing Inquiries*NameThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.