Make a Payment
We offer an online payment facility for all our patients.
Please submit the patient's name, your details and the payment details using the form below.
You will receive a receipt of payment by email from Stripe.
You will also receive an email with a copy of the info you submitted.
All payments are processed by Stripe.
If you need to amend or change any details, it is best to phone us directly on 061 785730
"*" indicates required fields