Make a Payment
(For Mountain Valley Therapy patients only)
Instruction for Online Payment Procedure:
Please fill out the form below, leaving no extra spaces after your entries in each field. Upon clicking the “MAKE A PAYMENT” button, your information will be taken to a secure external site, where you will input additional payment information. There will be an option to print a receipt upon payment completion.
Thank you for using our free online payment service!
Payment Form
Payment Form
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