Important Notice

Welcome to RVH's online payment system. We accept payments using: MasterCard, Visa, American Express, and Interac® Online.

You will receive a confirmation receipt following your payment. You will also receive an email confirmation for your records.

Please enter all of the information below and click Submit.

Contact Information

^*Cardholder First name:

^*Cardholder Last name:

^*Patient First name:

^*Patient Last name:

^*Daytime phone number:

( ) - ext.

Email address:

Please provide an email address so we may send you a confirmation of your payment. Your e-mail address will not be used for any other purpose.

Retype email address:

^*RVH Account Number:

Your RVH Account Number can be found at the top of your RVH invoice, to the right of the Patient Name. It follows the pattern AA########. If your invoice's account number has a backslash "/", please do not enter it here.

^*Amount to Pay:

After clicking Submit you will have 15 minutes to complete your transaction.

Online Payment System:

Contact Information