Alpine Clinic Treatment Building

Pay Online

We are pleased to offer online payments for our patients. To pay your bill, complete the form below. If you have any questions, please call us at 801-407-3002, Monday – Thursday 9AM – 6PM or Friday 9AM – 12PM.

Make a Payment

Full Name(Required)
Patient Name
(If different than billing name)
Billing Address(Required)
Credit Card(Required)
American Express
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Expiration Date