Utah Digestive Health Institute Contact Us: 801.475.5400

Web Payment - Step 1

Welcome to our secure payment form, all information entered will be transferred via 128 bit SSL encryption. Your information is sent directly to our credit card processor, no personal information is stored on our servers. If you have any additional billing questions, please call our billing office at (801)409-1026.

Ticket Number (from statement)  
Patient First Name*  
Patient Middle Name  
Patient Last Name*  
Payment Amount *   (xxx.xx)  
Email Address**  
Billing Phone Number   (xxx-xxx-xxxx)  

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Questions? Please call our office at (801)475-5400 between 9:00 AM and 5:00 PM Monday thru Friday or email us at info@udhi.org.