Please fill out the form below to make a secure payment to Roxbury. Required fields are: First Name, Last Name, Email, Patient First Name, Patient Last Name and Amount. Note the First Name and Last Name should be the person making the payment. Required fields will display in red if not filled in when clicking the ‘Pay Now’ button. If there are any questions or concerns please call us at 1-800-648-4673.
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Please note you may experience a delay after you click the “Pay Now” button while the page transitions to the next page.