Customer Portal Student Portal Patients

Customer Payment

* Payments made on the last business day of the month may not be reflected on your statement.

Cardholder Information
First Name*
Last Name*
Phone Number
If provided, a receipt will be emailed
Billing Address*
Billing Zip*
Valley Contax Account Number*
Your account number may be found on your invoice or monthly statement.
Statement Date
Notes are for Personal Use and are Limited to 17 Characters
Payment Amount *

If you experience an "Authorization Error" on the next screen please contact our Accounting Team at (541)744-9393 x1109 before submitting the payment a second time.

Valley Contax happily accepts American Express, Visa, MasterCard and Discover.

* Required Fields