HyperLink
Shelly Maze, EMS Director
P.O. Box 418, Hoisington, Kansas 67544
Phone 800-701-8560
Your Information
Terms Agreement
Payment
Receipt
Important Information
There is a service fee for processing payment(s) online or over the phone. The total charge amount will be displayed prior to submitting the payment. To make a payment by phone, please call (877) 685-4493 Mon - Fri 8am - 8pm and Sat - Sun 10am - 2pm EST.
Once you have submitted your payment, you will receive an email letting you know if your payment has been accepted or rejected.

Patient Name
Account / Invoice No
Amount
General Information
Please enter the following information about the person for whom you are making a payment.

First Name
Last Name
Address 1
Address 2
Zip Code
City
State
Phone
Birthdate
 

You are about to call the following number:


Log Call Info
X

Please add the call log information below:

Caller ID

Caller Name

Agent ID

SSID

Citation Number

Enter Reason



Enter Resolution



Cancel

Agent Login





powered by nCourt