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You must have JavaScript enabled to use this form. Online Payment Payor Name MRN (This number can be found on the top corner of your invoice) Patient's Last Name Patient's First Name Payment Amount $ This personal information is being collected under the authority of the Public Hospitals Act R.S.O. 1990, CHAPTER P.40 for the purpose of contacting the sender in response to an inquiry. If you have questions about the collection of this information, please contact Privacy and Freedom of Information, St. Joseph's Health Care London, 268 Grosvenor Street, London, ON,519-646-6100 ext. 65591.
