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Willapa Harbor HOSPITAL

South Bend, WA

Secure Payment Form

     
Account Number
Patient First Name
Patient Last Name
Address
City
State
Zip
Phone Number
Email Address

Required for receipt

Payment Amount
Name on Card
Card Number
Billing Zip
Expiration Date

MM/YYYY

CVV2/CID

3 digit number on back of card

BEFORE MAKING A PAYMENT PLEASE READ

Willapa Harbor HOSPITAL is pleased to offer you the convenience of secure online payments. Please allow 24 hours for your online payment to be applied to the balance due on your account. Payments made outside of normal business hours will not be posted until the next business day.

Normal business hours are Monday-Friday 8:00am until 5:00pm excluding any regularly scheduled closings for holidays. We also offer the convenience of automatic recurring payments. Please contact our Patient Financial Counselor at (360) 875-4503 for details.

Thank you for your payment.

If you received a CLINIC statement you can make your CLINIC payment HERE.

For payments to Virtual Radiologic Professionals (VRAD) call 844-706-9577 or click HERE.

For payments to McDonald Credit Service click HERE.

For payments to Armada Corp. click HERE.

Privacy Policy: We are committed to protecting your privacy. We only collect information about the transactions you undertake including details of payment card. We will never pass your personal data to anyone else. The security of your personal information is very important to us. When you enter sensitive information (such as a credit card number) we encrypt that information using secure socket layer technology (SSL).