cardpayment – Castle and Costa

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Pay A Bill Online

We are pleased to introduce card payments to the practice. The payment portal is securely administered by Stripe, a leading provider in online payment systems

Should you wish to pay by card over the telephone kindly call the office at your convenience on 01603 869 600, 10am to 4pm

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Your Details

Patient's Name *

First

Last

Patient Unique Identifier (If Known)

The 4-digit number shown next to the patient's name on their bill

I Am

The Patient
The Patient's Representative

Your Name

First

Last

Name of person making the enquiry on behalf of the patient

Relationship To Patient

Telephone Number *

Best telephone number for us to reach you

Your Email Address *

Payment Details

NHS Banded Treatment (From April 2024)

Band 1 - £26.80
Band 2 - £73.50
Band 3 - £319.10
Band 4 - £26.80
One Replacement Denture - £96.00
Two Replacement Dentures - £192.00

Please tick the treatment bands applicable for your course of treatment (as detailed in your invoice)

NHS Banded Treatment (2023-24 Rates)

Band 1 - £25.80
Band 2 - £70.70
Band 3 - £306.80
Band 4 - £25.80
One Replacement Denture - £92.00
Two Replacement Dentures - £184.00

Please tick the treatment bands applicable for your course of treatment (as detailed in your invoice)

Other (as specified in your invoice)

Total

£0.00

Credit/Debit Card Details *

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