LQpay

Please wait while we are processing your request.

Liquid Payments Application does not work with Internet Explorer

Internet Explorer is officially out of support since June 15, 2022 and it will no longer receive security updates by Microsoft. We recommend that you use Microsoft Edge or another modern browser to access this application. For more information visit below Microsoft official communication on Internet explorer End of Support and way forward for the users.
Click here.

To continue, Please connect to an working internet connection!

Payment Information

Patient Ref No:

Patient Name :

Mobile Phone Number :

Email :

Amount :

Enter any credit/debit card number :

Expiration Date :

Enter Month

Enter Year

Enter Cvv

Enter cardholder full name :

Enter Billing Address :

Payment Amount :

Zipcode

Do you want to keep card on file ?

By clicking Pay Now you accept our policies.

Family Health of Hartselle

Home