Payments

  • You may securely make a payment here for your Western Surgical or Western Bariatric Institute account. Upon approval, a receipt will be emailed to you and your payment will be posted to your account within 2 business days. No Refunds on Account Payments, except in the case of overpayment, then a credit will be issued to your Credit Card. Information is used expressly for payment processing only.

    Note: All fields are required!

    Patient Information




  • Credit Card Billing Information


  • This page is unsecured. Do not enter a real credit card number! Use this field only for testing purposes.
    American Express
    Discover
    MasterCard
    Visa
     
  • This field is for validation purposes and should be left unchanged.