This custom payment form is for those submitting a split payment when under instruction by our staff only.
You may pay for multiple invoices at once by comma separating the invoice ID numbers. eg. 80001, 80012, 80015 All invoices must belong to the same patient per individual request. Leading zeroes may be omitted.
Please enter the amount you wish to pay. eg. Enter 50 or 50.00 for £50. Minimum payment is 50 pence.
