Online bill pay

Comanche County Healthcare Corp.

Physician Bill

Click image below for larger view of a sample physician bill

ACCOUNT INFORMATION:

Name as it appears on the statement/account:

First Name: *

Last Name: *

Account number: *

Payment amount: *

ADDRESS (as it appears on the account):

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

Additional Comments/Insurance Updates: (optional)