Patient Portal

If you would like to pay your bill, please put your information below in our secure form.  Once you complete your information, press ‘Submit’.  You will be taken to a review page with our secure processor.  If all look well, please submit your payment.

By using this form, you agree to authorize Neuro-Spine Solutions of Bristol to use the information you provide below to initiate an electronic fund transfer from your account or to process the payment as a check transaction or bank drawn draft from your account for the amount you specify. If your payment is returned due to insufficient funds, you authorize Neuro-Spine Solutions to make a one time electronic funds transfer or to use a bank draft drawn from your account to collect a fee as allowed by state law.

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