Home Patient Services Make a Payment

Make a Payment

Ogden Clinic Account Number

Full Name

Email

Address

City

State:

Select a State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip Code

Credit Card Number

Expiration Date:

Select a Month 01-January 02-February 03-March 04-April 05-May 06-June 07-July 08-August 09-September 10-October 11-November 12-December

Select a Year 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030

CVV Code

Payment Amount

Next Submit

If you have questions about making a payment, you can reach a Patient Account Representative through email or by phone at 801-475-3500.