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Make an Online Bill Payment

The purpose of this form to pay a patient bill online via credit card.
For other payment options, please contact our billing office.

Billing Information

* = Required field

* Patient First Name:  
* Patient Last Name:  
* Patient Date of Birth:     
  Patient Account Number:  
* Payment Amount: $ 1.00 minimum (do not include '$')
* Contact Phone:   enter as 999-999-9999
  Contact Email:  
  Comments:  


Online Payments

If you have any questions regarding your bill, contact our billing office:

Susan Dean
Financial Assistance Supervisor
Natchaug Hospital
189 Storrs Rd.
Mansfield Center, CT 06250
860-465-5937
Email: NatchOnlinePayment@natchaug.org