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(719) 542-0032

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Use the form below to submit your payment online.

Pay Your Bill Online

Patient/Client Information

Patient/Client Name (as it appears on bill)
Contact Name (if different than Patient/Client above)

Billing Information

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By clicking the "SUBMIT" button below, you are authorizing The Sangre de Cristo Community Care to charge your credit card the amount entered above and to process your data for the purposes of this form.