Billing Welcome to our online billing system. Please use the online form below or the patient portal system to inquire about your specific bill. 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*PhoneThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.