Botsford Hospital
28050 Grand River Ave.
Farmington Hills, MI 48336-5919
(248) 471-8000
Map Contact Us
Facebook Twitter Google Plus YouTube Hospital Blog
Get social with Botsford

Online Payment - Botsford Clinic System

Thank you for using our online payment system. Please provide the following information in order to process your request. All fields are required.

Patient Information:
First Name:
Last Name:
Account Number:
Street Address:
City:
State:    ZIP Code:
Email:
   
Payment Information:
Payment Amount: $
Card Type:
Card Number:
Expiration Date:
Card Verification Number: