Pay My Bill - Laguna Beach Urgent Care

General Information:

Patient Name *

Patient Date of Birth *

(Example: DD/MM/YY)

Patient ID Number *

(Example: ID XXXXXXXX) - Numbers Only

Balance Due *

(Example: 27.50 = $27.50)

Payment Options

After submitting, you will be redirected to payment options.

Address

Apt, suite, etc.

Country

City

State

Zip code

Captcha *

reCAPTCHA is required.

For more information, or if you have additional questions regarding our services, please call our office today at 949.715.7278

COVID19 UPDATE- We are taking extra precaution and offering COVID19 Testing to those who need it for your health and safety. For more information PLEASE CLICK HERE